robin082006
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A 16-year-old girl is brought to a pediatrician because her mother is concerned about her weight loss over the last year. When the pediatrician attempts to interview the girI, she is clearly hostile, denies that she has any medical problem, and states that she is just trying to "Iook good." The girI's height is 175 cm (5Ə" and her weight is 41.4 kg (91 pounds). AIthough the girl is unwilling to discuss her weight with the physician, her mother reports that her daughter is convinced that she is too fat. The mother states that the girl is always finding excuses to not eat, or at the most, to eat only a few bites of fruit, even though she is still interested in cooking elaborate meals for her family. On one occasion, she discovered her daughter vomiting after a meaI, and believes that the vomiting was self-induced.
Over the next several years, in addition to the treatment of her current condition, this girl should also be monitored for the possible onset of which of the following?
/ A. Acute stress disorder
/ B. Agoraphobia
/ C. Conversion disorder
/ D. Depression
/ E. Panic disorder
/ F. Substance abuse
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| mjl1717
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**family hx -depression; agoraphobia -fear of open places
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| msyamp
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D
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| dipti
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D?
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| druas
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mood disorders..Depression.
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| robin082006
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what's her condition?
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| mjl1717
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anorexi nervosa with one episode of purging, low weight and i assume normal menses
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| robin082006
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Anorexia Nervosa, risk of depression
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| malinda
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what is the difference between anorexia nervosa and bulemia?
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| robin082006
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Just say somw main differences to distinguish them.
bulimia: binge eating, normal weight, induced-vomitting symptoms such as esophageal varices, tooth enamel erosion, parotid swelling, callouses of dorsal hands.
Anorexia: refuse to eat (50% have binge eating and purging), weight lost, amenorrhea, downy body hair.
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| linaorvos
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Good Q...I thought these type of pt also have a bit OCD character....
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| dipti
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this difference is given well in table form in harrison.
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| druas
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yes...people with Bulimia exibits kleptomania(tendency to steel)an impulse control disorder)
and both AN and BN are assocaited with borderline personality disorder
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| mjl1717
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Bulimia is easier to treat-sometimes with imipramine
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| docarchana
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the table in kaplan is also good.
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