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Anorexia Nervosa

Umer Farooq, MD, MBBS and Saeed Ahmed, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Restriction of energy intake leading to significantly low weight in the context of age, sex, developmental trajectory, and physical health, with intense fear of weight gain and body ...

DIAGNOSIS

HISTORY

  • Onset may be insidious or stress-related.

  • Patient unlikely to self-identify problem (lack of insight into the illness); corroborate with parent/relative.

  • Restriction of energy intake re...

TREATMENT

GENERAL MEASURES

  • Initial treatment goal geared to weight restoration; most managed as outpatients (OPs)

  • OP treatment:

    • Interdisciplinary team (primary care physician, mental health provider, d...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Close follow-up until patient demonstrates forward progress in care plan

  • Family and individual therapy is extremely important for the long-term benefits/outcomes.

  • C...

REFERENCES

1 Cotton MA, Ball C, Robinson P. Four simple questions can help screen for eating disorders. J Gen Intern Med.  2003;18(1):53–56.  [View Abstract]
2 Hay P, Bacaltchuk J, Claudino A, ...

ADDITIONAL READING

  • American Psychiatric Association. Practice Guideline for the Treatment of Patients with Eating Disorders. 3rd ed. Arlington, VA: American Psychiatric Association; 2006.

  • Dalle Grave...

SEE ALSO

  • Amenorrhea; Bulimia Nervosa; Osteoporosis and Osteopenia

  • Algorithm: Weight Loss, Unintentional

CODES

ICD10

  • F50.00 Anorexia nervosa, unspecified

  • F50.01 Anorexia nervosa, restricting type

  • F50.02 Anorexia nervosa, binge eating/purging type

  • F50.8 Other eating disorders

ICD9

  • 307.1 Anorexia nervosa

  • 307.59 O...

CLINICAL PEARLS

  • “Are you satisfied with your eating patterns?” and/or “Do you worry that you have lost control over how you eat?” may help to screen those with an eating problem.

  • Studies have shown pat...

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