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Further Medical Assessments

Work your way through these investigations at a pace that works for you and your patient.

Brain	Short term Confusion, drowsiness, seizures, poor memory, and concentration Depression, anxiety, and OCD Insomnia (anxiety vs hunger keeping awake) Long term Brain atrophy
Growth trajectory/charts in young people	Refer to resources linked under this table: Healthy Weight for Kids Growth Charts & Goal Weight
ENT	Parotid swelling Dental (tooth and gum disease from malnutrition, caries from purging)
Endocrine	Amenorrhoea Sick euthyroid Poor temperature regulation Hypoglycaemia Osteoporosis
Cardiovascular	Arrhythmia, long QTc Long term: oedema, heart failure
GIT	Decreased gastric mobility Bloating Constipation Dysphagia Pancreatitis (scope if purging >5 years)
LFTS	Can be abnormal in starvation and refeeding
Bone Marrow	Low WCC Anaemia (chronic disease or iron def) Thrombocytopaenia Immune response to infection

Healthy Weight for Kids

Determine a healthy weight range for kids

Clinical Growth Charts

Center for Disease Control & Prevention

ECG	Useful in all individuals as it provides a more accurate resting pulse and assesses for arrhythmia's (especially prolonged QTc which is common with severe weight loss).
Blood Tests	This may include: full blood count Electrolytes liver function tests Glucose Calcium Magnesium Phosphate thyroid stimulating hormone tri-iodothyronine serum thyroxine follicle stimulating hormone luteinising hormone oestradiol
Bone Densitometry	Indicated in individuals that are restricting their energy intake for >6 months, if underweight, with or without amenorrhoea.
Other Investigations	This may include: Erythrocyte sedimentation rate Ferritin B12 Folate anti-transglutaminase antibodies stool microscopy

Growth charts & goal weight made simple: eating disorder recovery

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