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Eating Disorders

Anorexia Nervosa This is a psychological disorder, in which there is a relentless pursuit of thinness. Anorexia is significant as it has a very high mortality rate: 1/3 of patients make a complete recovery 1/3 make only partial recovery and have many relapses  
almostadoctor.com - free medical student revision notes
over 5 years ago
Www.bmj
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A man with a palpable abdominal mass and night sweats

A 78 year old man presented with an eight week history of left sided abdominal pain and back pain, associated with anorexia, 3 kg weight loss, and night sweats. He was previously well, had no medical history of note, was taking no regular drugs, and was an ex-smoker.  
bmj.com
over 5 years ago
Www.bmj
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A man with a palpable abdominal mass and night sweats

A 78 year old man presented with an eight week history of left sided abdominal pain and back pain, associated with anorexia, 3 kg weight loss, and night sweats. He was previously well, had no medical history of note, was taking no regular drugs, and was an ex-smoker.  
bmj.com
over 5 years ago
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A case of progressive bilateral pitting oedema

A 68 year old man presented with a two month history of progressive shortness of breath. He had previously been able to swim three times a week, but was now becoming short of breath on climbing stairs. His associated symptoms included orthopnoea, swollen ankles, weight gain, and anorexia. He was being treated with simvastatin for hypercholesterolaemia and diltiazem for hypertension and had never smoked.  
bmj.com
over 4 years ago
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A case of progressive bilateral pitting oedema

A 68 year old man presented with a two month history of progressive shortness of breath. He had previously been able to swim three times a week, but was now becoming short of breath on climbing stairs. His associated symptoms included orthopnoea, swollen ankles, weight gain, and anorexia. He was being treated with simvastatin for hypercholesterolaemia and diltiazem for hypertension and had never smoked.  
feeds.bmj.com
over 4 years ago
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People with anorexia and body dysmorphic disorder have similar brain anomalies

People with anorexia nervosa and with body dysmorphic disorder have similar abnormalities in their brains that affect their ability to process visual information, a new UCLA study reveals.  
medicalnewstoday.com
over 4 years ago
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Who are the men and boys suffering from anorexia?

A new study by researchers from the University of Montreal reveals the current state of knowledge about anorexia in men and boys. 'Most of the knowledge about anorexia pertains to females.  
medicalnewstoday.com
over 4 years ago
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Effect of administration of antihelminthic for soil-transmitted helminths during pregnancy | Cochrane

Intestinal worms (helminths) contribute to iron-deficiency anaemia as they feed on blood and cause further bleeding by releasing anticoagulant compounds. They also affect the supply of nutrients and cause anorexia, vomiting and diarrhoea. Pregnancy complicated by maternal hookworm infection poses a serious threat to the health of mothers and their babies, especially in developing countries. Women who are anaemic during pregnancy are more likely to have ill health, give birth prematurely, and have low birthweight babies with low iron reserves. Antihelminthic drugs are highly effective and have minimal side-effects but information on their use during pregnancy is limited. The major concern is that the drugs may cause malformation of the fetus (teratogenic effects). We examined the research published up to 31 January 2015 on the impact of giving a single antihelminthic treatment in the second trimester of pregnancy on maternal anaemia and pregnancy outcomes.  
cochrane.org
over 4 years ago
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A 56 year old woman with syncope, weakness, and refractory hypotension

A 56 year old woman with hypothyroidism after total thyroidectomy presented to the emergency department after an episode of near syncope. When she arrived she had hypotension and atrial fibrillation, with a rapid ventricular response. She reported a history of progressive weakness, weight loss, polyuria, polydipsia, anorexia, and fatigue. Urine analysis was positive for leucocyte esterase and pyuria. She was admitted to the intensive care unit with a diagnosis of severe sepsis of urinary source and atrial fibrillation with a rapid ventricular response. After aggressive fluid resuscitation and the administration of intravenous antibiotics, her heart spontaneously converted to a normal rhythm and she appeared well perfused but remained hypotensive. Review of her medical record showed that her therapeutic thyroxine replacement had recently been decreased because of low thyrotrophin. On perusal of her records from an another facility it was noted that she had undergone pituitary mass resection and irradiation 20 years earlier.  
feeds.bmj.com
over 4 years ago
Www.bmj
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A 56 year old woman with syncope, weakness, and refractory hypotension

A 56 year old woman with hypothyroidism after total thyroidectomy presented to the emergency department after an episode of near syncope. When she arrived she had hypotension and atrial fibrillation, with a rapid ventricular response. She reported a history of progressive weakness, weight loss, polyuria, polydipsia, anorexia, and fatigue. Urine analysis was positive for leucocyte esterase and pyuria. She was admitted to the intensive care unit with a diagnosis of severe sepsis of urinary source and atrial fibrillation with a rapid ventricular response. After aggressive fluid resuscitation and the administration of intravenous antibiotics, her heart spontaneously converted to a normal rhythm and she appeared well perfused but remained hypotensive. Review of her medical record showed that her therapeutic thyroxine replacement had recently been decreased because of low thyrotrophin. On perusal of her records from an another facility it was noted that she had undergone pituitary mass resection and irradiation 20 years earlier.  
feeds.bmj.com
over 4 years ago
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'I had to lose weight for anorexia treatment' - BBC News

A charity tells the Victoria Derbyshire programme that too many people with eating disorders are being forced to lose weight to qualify for treatment. Here's one woman's story.  
bbc.co.uk
over 4 years ago
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Body mass index 'encourages anorexia' - BBC News

People with eating disorders feel they are being forced to lose weight so their body mass index is low enough to qualify for treatment, the UK's biggest eating disorder charity says.  
bbc.co.uk
over 4 years ago
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Outpatient psychological therapy for adults with anorexia | Cochrane

Anorexia nervosa is a severe and disabling mental health disorder of self starvation. In the general population the lifetime prevalence of anorexia nervosa may be as high as 5 in 100 women. About one in 10 people with anorexia nervosa is male. Psychological therapies are the main treatment and most people are treated as outpatients. A number of different types of therapy are used, from dynamic (where past issues are explored) to very directive cognitive-behavioural therapies (where specific advice is given and people are required to keep records of their eating behaviour). It is important to know which psychological therapy is most likely to help people recover. This review aimed to assess evidence about the effects of individual psychological therapy (therapy provided to one person as opposed to a group) delivered in outpatient settings to older adolescents and adults with anorexia nervosa.  
cochrane.org
over 4 years ago
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Polymyalgia rheumatica in primary care: managing diagnostic uncertainty

A 78 year old white woman presented with a six week history of bilateral shoulder stiffness and pain. Stiffness was the main symptom—it was so severe that she could not dress herself or brush her hair. She also had constitutional features including anorexia, weight loss, and profound lethargy. She was a smoker with a 30 pack year history. Initial blood tests showed markedly raised inflammatory markers, with an erythrocyte sedimentation rate of 98 mm in the first hour (reference range 0-12) and C reactive protein of 933 nmol/L (0-47.6). A diagnosis of polymyalgia rheumatica was considered.  
feeds.bmj.com
about 4 years ago
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Brain Changes May Underlie Anorexia Food Choices

Differences in brain activity may underlie some of the unhealthy eating patterns in people with anorexia nervosa, a study suggests.  
medscape.com
about 4 years ago
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Unexpected rapid weight gain in a patient with HIV and anorexia

A 45 year old man presented to outpatients in January 2015 with unexplained weight gain and shortness of breath. He was HIV positive (diagnosed in the early 1990s) and was on combination antiretroviral therapy (tenofovir, emtricitabine, and darunavir boosted with ritonavir). His HIV infection was well controlled with an undetectable HIV viral load and a CD4 count of 497×106/L.  
feeds.bmj.com
about 4 years ago
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Unexpected rapid weight gain in a patient with HIV and anorexia

A 45 year old man presented to outpatients in January 2015 with unexplained weight gain and shortness of breath. He was HIV positive (diagnosed in the early 1990s) and was on combination antiretroviral therapy (tenofovir, emtricitabine, and darunavir boosted with ritonavir). His HIV infection was well controlled with an undetectable HIV viral load and a CD4 count of 497×106/L.  
feeds.bmj.com
about 4 years ago
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Unexpected rapid weight gain in a patient with HIV and anorexia

A 45 year old man presented to outpatients in January 2015 with unexplained weight gain and shortness of breath. He was HIV positive (diagnosed in the early 1990s) and was on combination antiretroviral therapy (tenofovir, emtricitabine, and darunavir boosted with ritonavir). His HIV infection was well controlled with an undetectable HIV viral load and a CD4 count of 497×106/L.  
feeds.bmj.com
about 4 years ago
Preview
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6

Unexpected rapid weight gain in a patient with HIV and anorexia

A 45 year old man presented to outpatients in January 2015 with unexplained weight gain and shortness of breath. He was HIV positive (diagnosed in the early 1990s) and was on combination antiretroviral therapy (tenofovir, emtricitabine, and darunavir boosted with ritonavir). His HIV infection was well controlled with an undetectable HIV viral load and a CD4 count of 497×106/L.  
feeds.bmj.com
about 4 years ago