Eating disorder history and symptoms: Difference between revisions
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*family history of depression, alcohol use. | *family history of depression, alcohol use. | ||
Look | Look for physical signs such as: | ||
*AN patients look emaciated and bulimics look healthy | *AN patients look emaciated and bulimics look healthy | ||
*erosion of teeth enamel | *erosion of teeth enamel | ||
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*[[lanugo]] hair | *[[lanugo]] hair | ||
*Reversible [[mitral valve prolapse]] in AN patients that occurs due to size disproportion between [[left ventricle]] and [[mitral valve]]. | *Reversible [[mitral valve prolapse]] in AN patients that occurs due to size disproportion between [[left ventricle]] and [[mitral valve]]. | ||
Revision as of 19:12, 5 April 2021
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:
- 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 sick?
Ask about:
- abdominal discomfort
- bloating or constipation
- cold intolerance
- menstrual irregularities
- daytime hyperactivity
- insomnia
- exercise habits
- use of alcohol or drugs
- personal history of sexual assault or childhood abuse
- family history of depression, alcohol use.
Look for 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.