Koenigs, Laura, MD

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Scholarly Commons @ Baystate Health

 PRACTICAL PEARLS: Restrictive Eating Disorders   Author:   Laura Koenigs, MD      Adolescent Medicine                  April 2015  Contact:  Baystatechildrenshospital@baystatehealth.org   INTRODUCTION  Low caloric intake leading to significantly low body weight   Either intense fear of gaining weight or of becoming fat, or persistent behaviours that interfere with weight gain   Disturbance in the way one's body weight or shape is experienced, undue influence of body shape and weight on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.  References: J Adolesc Health. 2015 Apr;56(4):370-375.; J Adolesc Health. 2015 Jan;56(1):121-5  INITIAL EVALUATION AND MANAGEMENT BY PRIMARY CARE   Assess for medical stability: HR>46, Temp>97, normal glucose, electrolytes/Ca/Mg/P. If unstable, send to ER for evaluation.  Assess for other causes of weight loss, e.g., prealbumin, BUN, Creatinine, LFTs, TTG, IgA, ESR, TSH.  WHEN TO REFER  If patient unable to gain weight as outpatient.  If concern/confusion about diagnosis  HOW TO REFER  (413) 794-KIDS – Eating Disorder Clinic (Dr. Koenigs)  WHAT TO EXPECT FROM BAYSTATE CHILDREN’S HOSPITAL VISIT  Timely and coordinated evaluation / support for eating disorder  Psychological supports for parents and child  Nutrition coaching for parents from certified dietitian  Patient guidance on return to activities   Referral or additional evaluations when necessary   

Practical Pearl:  Restrictive Eating Disorders - April 2015

https://scholarlycommons.libraryinfo.bhs.org/cgi/viewcontent.cgi?article=1030&amp;context=pedipearl

Practical Pearl: Restrictive Eating Disorders - April 2015

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