Medical assessment
The main causes of increased mortality in AN are those
directly related to the disease [82]. Fortunately advances in
assessment and careful treatment of AN-related medical
abnormalities have helped reduce the rates of mortality
[104] compared with earlier practices. Multiple organ
systems should be reviewed at assessment and abnormal
medical findings can provide compelling objective evidence
to ambivalent attendees who may contest the need
for treatment. The types of medical complications presenting
are influenced by age, clinical history, and weight history.
The extent of medical and physical investigations
undertaken will depend on these factors although there is
some consensus on commonly recommended laboratory
investigations. These include a full blood count, urea and
electrolytes, biochemistry including calcium, magnesium
and phosphate, and glucose and liver functioning [105].
Assessment and monitoring for phosphate depletion is
particularly important. Hypophosphatemia is well known
to be associated with catastrophic consequences in the
context of refeeding particularly for the severely underweight
person.
Medical assessmentThe main causes of increased mortality in AN are thosedirectly related to the disease [82]. Fortunately advances inassessment and careful treatment of AN-related medicalabnormalities have helped reduce the rates of mortality[104] compared with earlier practices. Multiple organsystems should be reviewed at assessment and abnormalmedical findings can provide compelling objective evidenceto ambivalent attendees who may contest the needfor treatment. The types of medical complications presentingare influenced by age, clinical history, and weight history.The extent of medical and physical investigationsundertaken will depend on these factors although there issome consensus on commonly recommended laboratoryinvestigations. These include a full blood count, urea andelectrolytes, biochemistry including calcium, magnesiumand phosphate, and glucose and liver functioning [105].Assessment and monitoring for phosphate depletion isparticularly important. Hypophosphatemia is well knownto be associated with catastrophic consequences in thecontext of refeeding particularly for the severely underweightperson.
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