Anorexia nervosa physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Appearance of the patient

• Extreme weight loss
• Stunted growth
• Body mass index less than 17.5 in adults, or 85% of expected weight in children

Vital Signs

Temperature

• Hypothermia

Pulse

Rate

• Bradycardia

Blood Pressure

• Hypotension

Skin

• Growth of lanugo hair over the body
• Dry skin
• Possibly with pallid complexion

Eyes

• Sunken eyes

Extremities

• Creaking joints and bones
• Collection of fluid in ankles during the day and around eyes during the night
• Nails become more brittle
• Tooth decay
• Very dry/chapped lips due to malnutrition

Miscellaneous

Behavioral

• Excessive exercise, food restriction
• Fainting
• Secretive about eating or exercise behavior
• Possible self-harm, substance abuse or suicide attempts
• Very sensitive to references about body weight
• Become very aggressive when forced to eat "forbidden" foods