Anorexia nervosa physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

## Physical Examination[edit | edit source]

### Appearance of the patient[edit | edit source]

* Extreme weight loss
* Stunted growth
* Body mass index less than 17.5 in adults, or 85% of expected weight in children

### Vital Signs[edit | edit source]

#### Temperature[edit | edit source]

* Hypothermia

#### Pulse[edit | edit source]

##### Rate[edit | edit source]

* Bradycardia

#### Blood Pressure[edit | edit source]

* Hypotension

### Skin[edit | edit source]

* Growth of lanugo hair over the body
* Dry skin
* Possibly with pallid complexion

### Eyes[edit | edit source]

* Sunken eyes

### Extremities[edit | edit source]

* Creaking joints and bones
* Collection of fluid in ankles during the day and around eyes during the night
* Nails become more brittle
* Tooth decay
* Very dry/chapped lips due to malnutrition

### Miscellaneous[edit | edit source]

#### Behavioral[edit | edit source]

* Excessive exercise, food restriction
* Fainting
* Secretive about eating or exercise behavior
* Possible self-harm, substance abuse or suicide attempts
* Very sensitive to references about body weight
* Become very aggressive when forced to eat "forbidden" foods

## References[edit | edit source]

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