Answers 100% Correct
What should be identified during a medical evaluation? Medical complications, signs of
restriction, purging, selective eating, or binge eating.
What are some common lab tests for assessing health? CBC, CMP, phos, calcium,
magnesium, urinalysis, thyroid function (TSH, free T4)
What lab tests are recommended if vomiting is suspected? amylase and lipase
What lab test should be done for biologic females with amenorrhea? pregnancy test
What lab tests should be done if there are concerns for hormonal function? LH, FSH,
estradiol or testosterone. All can be lowered
What lab test should be done if starting atypical antipsychotic or history of bingeing? lipid
panel
,What test should be done for weight loss, bradycardia, syncope, and electrolyte abnormalities?
ECG
What test should be done for all males and any female with >6 months of amenorrhea?
DXA
How is weight suppression calculated? difference between highest and current weight;
percentage of body mass lost
What should be assessed in males to evaluate their condition? libido, frequency of
shaving, etc.
What are some special considerations for males with eating disorders? different body
image concerns, higher risk groups, symptoms of drive for muscular ideal, use of anabolic
steroids, use of 'cheat meal', presence of exercise compulsion
What are some risks associated with AN-R in men? higher age, higher premorbid
weight/BMI, lower BMIs, more likely to have fatal outcomes, increased risk of cardiovascular
issues, HPG axis suppression, growth issues, refeeding risk
, What are some risk factors for osteoporosis in males with eating disorders? AN-R, AN-
B/P, older age, lower weights
What is the prevalence of eating disorders in kids and adolescents? 6-8%
What percentage of eating disorder patients in kids are males? 1/4
What are some factors that support hospitalization in kids and adolescents with eating disorders?
<75% median BMI for age and sex, dehydration, electrolyte disturbance, EKG
abnormalities, physiologic instability, arrested growth/development, failure of outpatient
treatment, acute food refusal, uncontrollable blood pressure, acute medical complication of
malnutrition, comorbid psych/medical conditions
Female athlete triad (REDS) Impaired physiologic functioning caused by relative energy
deficiency. Impairs: Metabolic rate, hormonal function, bone health, immunity, protein synthesis,
cardiovascular health
Medical complications in AN-R and Arfid: Direct result of starvation and wt loss