Question of the Week # 255

A 16 year old woman is brought to your office by her mother for medical evaluation. Her mother has been out of country on a long business trip for 8 months and upon her return, she was shocked to notice that her daughter looked much skinnier than she was 8 months ago. The patient has lost about 30 lbs weight in the past 8 months and reports irregular menstruation. She is fearful of gaining weight and has been exercising excessively.  Physical examination reveals a very thin woman with a Body Mass Index (BMI) of 16. She has fine, downy dark hair all over her body. Which of the following findings are frequently seen in association with this condition?

A)     Diarrhea

B)     Tachycardia

C)      Hyperkalemia

D)     Decreased Bone mineral density

E)     Metabolic Acidosis

15 Responses

  1. D

  2. bbbbbbbbbb anorexia nervosa

  3. Anorexia nervosa,signs of malnutrition are seen.metabolic acidosis is seen with laxative use after binge eating,but the question doesnot tell about the eating habits,so I think it is D.

  4. decreased bone mtneral density

  5. i think D

  6. D

  7. D

  8. ans is (d)

  9. She is anorexic for sure
    So Hypochloremic hopokalemic metabolic alkalosis from vomiting.
    But Tachycardia does happen in anorexia
    but bone mineral density also is associated with malnutrition??

  10. D) Decreased Bone mineral density

  11. D

  12. ddd

  13. D)

  14. norexia can have numerous complications. At its most severe, it can be fatal. Death may occur suddenly — even when someone is not severely underweight. This may result from abnormal heart rhythms (arrhythmias) or an imbalance of electrolytes — minerals such as sodium, potassium and calcium that maintain the balance of fluids in your body.

    Complications of anorexia include:

    Death
    Anemia
    Heart problems, such as mitral valve prolapse, abnormal heart rhythms and heart failure
    Bone loss, increasing risk of fractures later in life
    In females, absence of a period
    In males, decreased testosterone
    Gastrointestinal problems, such as constipation, bloating or nausea
    Electrolyte abnormalities, such as low blood potassium, sodium and chloride
    Kidney problems
    If a person with anorexia becomes severely malnourished, every organ in the body can be damaged, including the brain, heart and kidneys. This damage may not be fully reversible, even when the anorexia is under control.

    In addition to the host of physical complications, people with anorexia also commonly have other mental disorders as well. They may include:

    Depression
    Anxiety disorders
    Personality disorders
    Obsessive-compulsive disorders
    Drug abuse

  15. decrease bone density

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