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Anorexia Nervosa

Umer Farooq, MD and Ayesha Fatima, MBBS Reviewed 06/2020
 


BASICS

DESCRIPTION

  • An eating disorder characterized by the restriction of food intake leading to significantly low weight (less than minimally normal/expected) in the context of age, sex, developmental...

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 long-term benefits/outcomes.

  • CBT i...

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 on OvidMedline]
2
Hay PJ, Claudino AM, Tou...

ADDITIONAL READING

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

CODES

ICD10

  • F50.01 Anorexia nervosa, restricting type

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

  • F50.00 Anorexia nervosa, unspecified

  • F50.0 Anorexia nervosa

ICD9

  • 307.1 Anorexia nervosa

  • 307.59 Other d...

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.

  • Assess for suicide ris...

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