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Salient Features

Salient Features. 14 year old, female Decreased Food Intake/ Later refusal to eat Weight conscious Sad most of the day, Progressive over months Apparent voices Distorted body image Increased irritability Cuts on arms and wrist Suicidal ideations Fainting No other apparent Const’lSx

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Salient Features

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  1. Salient Features • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  2. Anorexia Nervosa • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight ………… + ………… + ………… + ………… +/– ………… +/– ………… + ………… +/– ………… – ………… – ………… +/– ………… +/– ………… +

  3. Major Depressive Disorder in Children ………… + ………… + ………… – ………… + ………… +/– ………… +/– ………… + ………… +/– ………… +/– ………… – ………… – ………… +/– • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  4. Anorexia Nervosa with Comorbid MDD in Children ………… + ………… + ………… + ………… + ………… + ………… + ………… + ………… +/– ………… +/– ………… +/– ………… +/– ………… + • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  5. Primary Impression • Anorexia nervosa, restrictive type; Major depressive disorder in Children

  6. Differential Diagnosis

  7. Bulimia Nervosa ………… + ………… – ………… + ………… +/– ………… +/– ………… + ………… +/– ………… – ………… +/– ………… +/– ………… +/– ………… – • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  8. General Medical Conditions ………… +/– ………… +/– ………… – ………… +/– ………… +/– ………… – ………… +/– ………… – ………… +/– ………… +/– ………… – ………… +/– • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  9. Schizophrenia, Paranoid Type ………… – ………… +/– ………… – ………… +/– ………… + ………… + ………… +/– ………… – ………… – ………… – ………… – ………… – • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  10. Body Dysmorphic Disorder ………… + ………… +/– ………… +/– ………… +/– ………… +/– ………… + ………… +/– ………… +/– ………… +/– ………… +/– ………… +/– ………… +/– • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  11. Bipolar II Disorder ………… +/– ………… +/– ………… – ………… +/– ………… +/– ………… – ………… + ………… +/– ………… +/– ………… – ………… – ………… +/– • 14 year old, female • Decreased Food Intake/ • Later refusal to eat • Weight conscious • Sad most of the day, • Progressive over months • Apparent voices • Distorted body image • Increased irritability • Cuts on arms and wrist • Suicidal ideations • Fainting • No other apparent Const’lSx • BMI = Underweight

  12. Laboratory Tests

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