Eating disorder history and symptoms: Difference between revisions

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


Ask about:
SYMPTOMS: The main symptom is intentional  weight loss causing malnutrition and cachexia. Other symptoms include:
*abdominal discomfort
*abdominal discomfort
*[[bloating]] or [[constipation]]
*[[bloating]] or [[constipation]]
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*[[insomnia]]
*[[insomnia]]
*exercise habits
*exercise habits
*use of alcohol or drugs
*use of [[alcohol]] or drugs
*personal history of sexual assault or childhood abuse
*personal history of [[sexual assault]] or [[childhood abuse]]
*family history of depression, alcohol use.
*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>
 
Look of physical signs such as:
*AN patients look emaciated and bulimics look healthy
*erosion of teeth enamel
*hypertrophy of knuckles-Russell's sign
*[[hypotension]]
*[[bradycardia]]
*[[irregular rhythm]]
*[[peripheral edema]]
*[[yellow skin]]
*[[lanugo]] hair
*Reversible [[mitral valve prolapse]] in AN patients that occurs due to size disproportion between [[left ventricle]] and [[mitral valve]].
 
 
 
 
 
 
{{familytree | | | | | | | | | | | | | C01 | | | | | | | | | | | | C01= '''Laboratory investigations'''<br>1.[[complete blood count]]<br>2.[[Urea]], [[creatinine]] and [[electrolytes]]<br>3.blood [[glucose]]<br>4.serum [[albumin]]<br>5.'''[[TSH]]''','''[[FSH]]''','''[[LH]]''' and '''[[prolactin]]'''<br>6.[[Bone Densitometry]]<br>7.[[Electrocardiogram]]}}  
{{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.
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