Q:

A 13-year-old adolescent female attained out-patient department (OPD),with a complaint of feeling fat especially over the stomach and thighs

Anwaar
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2022-09-07
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A 13-year-old adolescent female attained out-patient department (OPD),with a complaint of feeling fat especially over the stomach and thighs; she is also feeling cold, tired,weak,and lacking energy.Examination reveals,heart rate 46 beats/min,blood pressure 70/40 mm Hg,weight below 3 centile,dry skin,and lanugo-type hair growth on face; lab investigations shows hypokalemia and hypophosphatemia. Of the following, the MOST appropriate next action is

  1. admission to the hospital
  2. referral to psychiatrist
  3. referral to dietician
  4. make an scheduled OP visit to you and to psychiatrist
  5. offer partial hospital program
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Anwaar
2022-09-07
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A). Heart rate <50 beats/min and blood pressure <80/50 mmHg with hypokalemii and hypophosphatemia are indications for admission in anorexia nervosa; othel 28 indications may include hypoglycemia, dehydration, temperature <36.1 C, <80% healthy body weight, hepatic, cardiac, or renal compromise, suicidal intent and plan.

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