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Anorexia Nervosa (Physiological sequelae (CVS (Often hypotensive,…
Anorexia Nervosa
Physiological sequelae
CVS
Often hypotensive, bradycardiac, low BMR
High risk arrhythmia, ECG changes, electrolyte derrangement
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Resp
Metabolic acidosis from vomiting, low RR
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GI
Poor dentition, Mallory Weiss tears, strictures
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Fatty liver, pancreatic hypersecretion
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Endocrine
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Increased cortisol, decreased growth hormone
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Haem and immune
Leukopenia, thrombocytopenia, bone marrow hypoplasia
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Neuro
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Hypoglycaemia, electrolytes (coma, seizure)
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Preop
Anorexia Hx: use of laxatives, vomiting, drug and alcohol use, collateral hx
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Exam - stigmata of anorexia, cardio/resp function
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