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: | |||
*Do you think you are too thin? or too fat? | |||
*Do you think you are too thin? | |||
*What did you eat yesterday? | *What did you eat yesterday? | ||
*Do you ever binge eat? | *Do you ever binge eat? | ||
*Do you use any pills for losing weight? | *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 | Ask about: | ||
*abdominal discomfort | *abdominal discomfort | ||
*[[bloating]] or [[constipation]] | *[[bloating]] or [[constipation]] | ||
| Line 13: | Line 15: | ||
*[[daytime hyperactivity]] | *[[daytime hyperactivity]] | ||
*[[insomnia]] | *[[insomnia]] | ||
* | *exercise habits | ||
*use of alcohol or drugs | |||
*personal history of sexual assault or childhood abuse | |||
*family history of depression, alcohol use. | |||
Look of physical signs such as: | 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]] | *[[hypotension]] | ||
*[[bradycardia]] | *[[bradycardia]] | ||
| Line 22: | Line 30: | ||
*[[yellow skin]] | *[[yellow skin]] | ||
*[[lanugo]] hair | *[[lanugo]] hair | ||
*Reversible [[mitral valve prolapse]] 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]]. | ||
{{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 | | | | | | | | | | | | | 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}} | {{familytree/end}} | ||
Revision as of 19:11, 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 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.
Laboratory investigations
1.complete blood count
2.Urea, creatinine and electrolytes
3.blood glucose
4.serum albumin
5.TSH,FSH,LH and prolactin
6.Bone Densitometry
7.Electrocardiogram