USMLE Forum Archives - USMLE Step 3 - anorexia nervosa
anorexia nervosa
zkadhem - 07-24-09 15:45
A 15-year-old Caucasian girl is brought to the clinic by her parents. She was diagnosed with anorexia nervosa six months ago, and has been undergoing cognitive behavioral therapy ever since. The patient’s food intake has slightly improved in the last two months, but her parents are still worried because she has not gained any weight for the past four weeks. She has no other medical problems. The patient does not use tobacco, alcohol or drugs. She takes no medications. The patient weighs 86 pounds and is 5’2" tall. The average weight for her age, sex and height is 120 pounds. Her temperature is 36.7ºC (98ºF), blood pressure is 100/60 mmHg, pulse is 64/min and respirations are 14/min. Examination reveals an alert and oriented girl. Subcutaneous tissue and body fat are decreased. There is no axillary or pubic hair. The abdomen is soft, non-tender, and non-distended.Which of the following will be the most appropriate next step in the management of this patient?
zkadhem - 07-24-09 15:45
A 15-year-old Caucasian girl is brought to the clinic by her parents. She was diagnosed with anorexia nervosa six months ago, and has been undergoing cognitive behavioral therapy ever since. The patient’s food intake has slightly improved in the last two months, but her parents are still worried because she has not gained any weight for the past four weeks. She has no other medical problems. The patient does not use tobacco, alcohol or drugs. She takes no medications. The patient weighs 86 pounds and is 5’2" tall. The average weight for her age, sex and height is 120 pounds. Her temperature is 36.7ºC (98ºF), blood pressure is 100/60 mmHg, pulse is 64/min and respirations are 14/min. Examination reveals an alert and oriented girl. Subcutaneous tissue and body fat are decreased. There is no axillary or pubic hair. The abdomen is soft, non-tender, and non-distended.Which of the following will be the most appropriate next step in the management of this patient?
The correct answer and explanation will be available after you answer.
Page 1
#17
Re: anorexia nervosa babbu5508 - 07-13-10 10:13 My answer is: c.
c. Admit the patient to the hospital...the next step in an unresponsive anorexic patient to monitor them closely and continuously...
Page 1