Data gathering
- Red flags – binging, purging, chest pain, lightheadedness, DSH, mood
- Others – laxatives, restricted diet, exercise, dental problems, periods
Clinical management
- Investigations
- Bloods – FBC, U+E, Ca, Mg, Phosphate, CK
- ECG
- Treatment
- Conservative – Support groups, Overcoming anorexia self-help book
- Psychology – CBT
- Medical – fluoxetine 60mg
- Follow-up / Safety-net
- Consider admission if BMI < 13, hypotension, bradycardia
NB:
After vomiting – wash with non acidic mouthwash