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May 23, 2013
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Anorexia Nervosa (cont.)

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Diagnosis of Anorexia Nervosa

Medical assessment must include height and weight measurements, vital signs, blood and urine tests, an ECG, and a thorough history and physical exam.

  • Criteria used to diagnose anorexia nervosa include the following signs and symptoms:
    • Refusal to maintain body weight at or above a minimally normal weight for age and height (usually weight has dropped to less than 85% of an expected normal weight)
    • Intense fear of gaining weight or becoming fat even though underweight
    • Disturbance in the way your body weight or shape is pictured or otherwise experienced; undue influence of body weight or shape on your feeling of self-worth; denying the seriousness of your current low body weight
    • In menstruating women, missing at least three consecutive menstrual cycles (creates the condition of amenorrhea)
  • Determining the diagnosis of anorexia nervosa is difficult. A variety of acute and chronic medical and psychiatric conditions can have the same signs and symptoms. A physician must rule out the other illnesses.

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Read What Your Physician is Reading on Medscape

Anorexia Nervosa »

Richard Morton first described anorexia nervosa more than 300 years ago, in 1689, as a condition of "a Nervous Consumption" caused by "sadness, and anxious Cares."

Read More on Medscape Reference »


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