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Identification of patients with eating disorders. The signs and symptoms of anorexia nervosa and bulimia nervosa

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Abstract

The optimal medical assessment of an eating disorder patient depends on a knowledge of the associated signs and symptoms, many of which are rarely seen in general medicine. Some of these signs are diagnostic of eating disorders. This paper presents a systematic review of the history and physical examination, including the special signs and symptoms in tabular form. In addition, the significance of the signs and symptoms of eating disorders is reviewed.

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References

  1. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC, American Psychiatric Association, 1994.

    Google Scholar 

  2. Abraham S., Llewellyn-Jones D.: Eating Disorders: The facts, 4th ed. Oxford, NY, Oxford University Press, 1997, pp. 56–63.

    Google Scholar 

  3. Crowther J.H., Sherwood N.E.: Assessment. In: Garner D.M., Garfinkel P.E. (Eds.), The handbook of treatment for eating disorders, 2nd ed. New York, NY, The Guilford Press, 1997, pp. 34–49.

    Google Scholar 

  4. Fisher M., Golden N.H., Katzman D.K., Kreipe R.E., Rees J., Schebendach J., Sigman G., Ammerman S., Hoberman H.M.: Eating disorders in adolescents: A background paper. J. Adolesc. Health, 16, 420–437, 1995.

    Article  CAS  PubMed  Google Scholar 

  5. Chawla A., Somani R.: Essentials of clinical examination: Handbook, 2nd ed. University of Toronto, 1999, p. 7.

    Google Scholar 

  6. Bryant-Waugh R., Knibbs J., Fosson A., Kaminski Z., Lask B.: Long term follow-up of patients with early onset anorexia nervosa. Arch. Dis. Child., 143, 1322–1327, 1989.

    Google Scholar 

  7. Lawrence S., Neinstein L., Kaufman F.R.: Normal physical growth and development and psychosocial development in normal adolescents. In: Neinstein L. (Ed.), Adolescent health care: A practical guide, 3rd ed. Pittsburgh, PA, Williams & Wilkins, 1996, pp. 3–60.

    Google Scholar 

  8. Nussbaum M.P.: Anorexia Nervosa. In: McAnarney E., Kreipe R., Orr D., Comerci G., (Eds.), Textbook of adolescent medicine. Philadelphia, W.B. Saunders Company, 1992, pp. 536–546.

    Google Scholar 

  9. Coupey S.M.: Anorexia Nervosa. In: Friedman S., Fister M., Schonberg K., Alderman E., (Eds.), Comprehensive adolescent health care, 2nd ed. St. Louis, Mosby-Year Book, 1998, pp. 247–268.

    Google Scholar 

  10. Ehrman W.H., Matson S.C.: Approach to assessing adolescents on serious or sensitive issues. Pediatr. Clin. North Am., 45, 189–204, 1998.

    Article  CAS  PubMed  Google Scholar 

  11. de Zwaan M., Mitchell J.E.: Medical complications of anorexia nervosa and bulimia nervosa. In: Kaplan A.S., Garfinkel P.E. (Eds.), Medical issues and the eating disorders: The interface. New York, Brunner/Mazel Publishers, 1993, pp. 60–100.

    Google Scholar 

  12. Hellstrom I.: Oral complications in anorexia nervosa. Scand. J. Dental Res., 85, 71–86, 1977.

    CAS  Google Scholar 

  13. Gupta M.A., Gupta A.K., Haberman H.F.: Dermatologic signs in anorexia nervosa and bulimia nervosa. Arch. Dermatol., 123, 1386–1390, 1987.

    Article  CAS  PubMed  Google Scholar 

  14. Mitchell J.E., Pomeroy C., Adson D.E.: Managing medical complications. In: Garner D.M., Garfinkel P.E. (Eds.), The handbook of treatment for eating disorders, 2nd ed. New York, The Guilford Press, 1997, pp. 383–393.

    Google Scholar 

  15. Palla B., Litt I.F.: Medical complications of eating disorders in adolescents. Pediatrics, 81, 613–623, 1988.

    CAS  PubMed  Google Scholar 

  16. Cohen L.B., Field S.P., Sachar D.B.: The superior mesenteric artery syndrome: The disease that isn’t, or is it? J. Clin. Gastroenterol., 7, 113–116, 1985.

    Article  CAS  PubMed  Google Scholar 

  17. Harris R.T.: Eating disorders: Diagnosis and management by the internist. South. Med. J., 79, 871–878, 1986.

    Article  CAS  PubMed  Google Scholar 

  18. Kim-Sing A., Birmingham C.L.: Clinical use of magnesium supplementation. Can. J. Hospital Pharmacy, 43, 161–166, 1990.

    Google Scholar 

  19. Kreipe R.E., Comerci G.D.: Assessment of weight loss in the adolescent. Ross Laboratories, 8, 1988.

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Uyeda, L., Tyler, I., Pinzon, J. et al. Identification of patients with eating disorders. The signs and symptoms of anorexia nervosa and bulimia nervosa. Eat Weight Disord 7, 116–123 (2002). https://doi.org/10.1007/BF03354437

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  • DOI: https://doi.org/10.1007/BF03354437

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