Eating disorder history and symptoms: Difference between revisions

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==ANOREXIA NERVOSA==
HISTORY:
Eating disorders are particularly common in young females and change in weight  is the main concern often expressed by the patient or a family member. Apart from a detailed history, few questions that a physician should ask include:
*Do you think you are too thin? or too fat?
*What did you eat yesterday?
*Do you ever binge eat?
*Do you use any pills for losing weight?
*Do you ever eat in secret?
*Are you satisfied with your eating habits?
*Do you make yourself sick because you feel uncomfortably full?


{{familytree/start}}
SYMPTOMS: The main symptom is intentional  weight loss causing malnutrition and cachexia. Other symptoms include:
{{familytree | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | | | A01= '''Ask''':<br> 1.Do you think you are thin or '''too thin'''?<br> 2.What did you eat yesterday? <br>3.Do you ever '''binge eat'''? <br>4. Do you us any medications such as '''laxatives''' or '''diuretics''' or '''diet pills'''?}}
*abdominal discomfort
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | }}
*[[bloating]] or [[constipation]]
{{familytree | | | | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | |B01= '''Evaluate common symptoms''' <br>1.abdominal discomfort <br>2.bloating or constipation <br>3.cold intolerance <br>4.menstrual history <br>5.exercise habits <br>6.daytime hyperactivity and insomnia}}
*[[cold intolerance]]
{{familytree | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|-|-|.| }}
*[[menstrual irregularities]]
{{familytree | | | | | B01 | | | | | | | | | | | | | | | | | | B02 | | |B01= Normal '''[[FT4]]''', Elevated '''[[TSH]]'''>5.5| B02 = Decresased level of '''[[FT4]]'''}}
*[[daytime hyperactivity]]
{{familytree | | | | | |!| | | | | | | | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|-|.| | }}
*[[insomnia]]
{{familytree | | | | | C01 | | | | | | | | | | | C02 | | | | | | | | | | | | C03 | | | | | | | | | | | | | | C01 = [[Subclinical hypothyroidism]] | C02 = Elevated '''[[TSH]]''' > 5.5 | C03 = Normal '''[[TSH]]''' level OR
*exercise habits
Decreased '''[[TSH]]''' level < 0.2}}
*use of [[alcohol]] or drugs
{{familytree | | | | | |!| | | | | | | | | | | | |!| | | | | | | | | | | | | |!| }}
*personal history of [[sexual assault]] or [[childhood abuse]]
{{familytree | | | | | |`|-|-|-|-| T01 |-|-|-|-|-|'| | | | | | | | | | | | | T02 | T01 = Check '''anti-thyroid autoantibodies''' and
*family history of [[depression, alcohol use.<ref name="pmid22114627">{{cite journal| author=Herpertz S, Hagenah U, Vocks S, von Wietersheim J, Cuntz U, Zeeck A | display-authors=etal| title=The diagnosis and treatment of eating disorders. | journal=Dtsch Arztebl Int | year= 2011 | volume= 108 | issue= 40 | pages= 678-85 | pmid=22114627 | doi=10.3238/arztebl.2011.0678 | pmc=3221424 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22114627  }} </ref>
'''[[TPOAb]]''' | T02 = Check '''[[TRH]]'''}}
{{familytree | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | |!| }}
{{familytree | | | | | | |,|-|-|-|-|^|-|-|-|-|.| | | | | | | | | | |,|-|-|-|-|^|-|-|-|-|.|}}
{{familytree | | | | | | D01 | | | | | | | | D02 | | | | | | | | | D03 | | | | | | | | D04 | D01 = Increased | D02 = Normal | D03 = Normal or increased | D04 = Decreased }}
{{familytree | | | | | | |!| | | | | | | | | |!| | | | | | | | | | |!| | | | | | | | | |!| }}
{{familytree |boxstyle=text-align: left; | | | | | | D01 | | | | | | | | D02 | | | | | | | | | D03 | | | | | | | | D04 | D01 = •[[Autoimmune thyroiditis]] <br> • Resistance to TSH | D02 = •[[Iodine deficeincy]] <br> •[[Thyroiditis]] | D03 = •Pituitary related hypothyroidism | D04 = •Hypothalamus related hypothyroidism}}
{{familytree/end}}

Latest revision as of 18:26, 8 April 2021

HISTORY: Eating disorders are particularly common in young females and change in weight is the main concern often expressed by the patient or a family member. Apart from a detailed history, few questions that a physician should ask include:

  • Do you think you are too thin? or too fat?
  • What did you eat yesterday?
  • Do you ever binge eat?
  • Do you use any pills for losing weight?
  • Do you ever eat in secret?
  • Are you satisfied with your eating habits?
  • Do you make yourself sick because you feel uncomfortably full?

SYMPTOMS: The main symptom is intentional weight loss causing malnutrition and cachexia. Other symptoms include:

  1. Herpertz S, Hagenah U, Vocks S, von Wietersheim J, Cuntz U, Zeeck A; et al. (2011). "The diagnosis and treatment of eating disorders". Dtsch Arztebl Int. 108 (40): 678–85. doi:10.3238/arztebl.2011.0678. PMC 3221424. PMID 22114627.