High morbidity... don't sniff at it.

anorexia nervosa

	High relapse rate, high morbidity
Etiology	DSM... often co-morbid with either mood disorders, or autism
Epidemiology	F>>>M (9:1)
Clinical presentation	Any complication/presentation of prolonged starvation - protein loss. Bedside: Postural hypotension, hypothermia ECG: QT prolongation, bradycardia... → Sudden cardiac death does occur in AN Bloods: Hypoglycaemia ↓ WCC, anaemia ↓ Na (water loading?) or ↓K (laxative abuse?)... but may be normal ↑ CK
Diagnostic investigations	Complications of starvation basically, see above
Management	MCA/MHA Most are managed in the community Need managed feeding basically alongside psychological therapies Physically unwell and unstable → admit and see MARSIPAN guidelines High risk for pressure ulcers Risk of refeeding syndrome

Risk assessment - taken from MEED

	binge eating followed by purging (excessive exercise, vomiting, laxatives)
Etiology
Epidemiology
Clinical presentation
Pathogenesis
Diagnostic investigations
Management