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 | 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? | ||
| Line 6: | Line 6: | ||
*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 | *Do you make yourself sick because you feel uncomfortably full? | ||
Ask about: | Ask about: | ||
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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. | ||
Look for physical signs such as: | 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]] | ||
*hypertrophy of knuckles-Russell's sign | *hypertrophy of knuckles-[[Russell's sign]] | ||
*[[hypotension]] | *[[hypotension]] | ||
*[[bradycardia]] | *[[bradycardia]] | ||
Revision as of 19:13, 5 April 2021
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?
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.