Approach to the Critical Patient

Immediate priorities

Life-threatening derangements of starvation

Refeeding syndrome vigilance

Monitoring and targets

Monitoring bundle

Escalation triggers

Immediate consults

Consultation triggers

History

Eating disorder behaviors

Restriction pattern

Purging and compensatory behaviors

Associated symptoms and comorbidity

Constitutional and endocrine clues

Psychiatric history

Risk factors and collateral

Predisposing risk factors

Collateral history

Physical Exam

Vital signs

Hemodynamic findings

General and integumentary

Nutritional and skin signs

Targeted systems

Cardiovascular exam

Musculoskeletal and neurologic

Differential Diagnosis

Cannot-miss organic mimics

Endocrine and oncologic

Metabolic and structural

Gastrointestinal and eating disorder spectrum

GI mimics

Eating disorder differentials

Laboratory Tests

Core metabolic and hematologic panel

Hematologic studies

Electrolytes and renal

Refeeding-critical electrolytes

Phosphate, magnesium, glucose

Hepatic, endocrine, and adjunct labs

Organ function and hormones

Adjunct testing

Diagnostic Tests

Scoring Systems

Screening and severity tools

Limitations

MRI

Brain MRI role

CT

CT applications

Ultrasound

Echocardiography

Bedside ultrasound adjuncts

Disposition

Admission criteria

Medical instability triggers

Other admission indications

Discharge and consultation

Discharge criteria

Specialist consultation triggers

Treatment

Initial stabilization

Resuscitation measures

Electrolyte repletion

Prophylactic and corrective repletion

Refeeding protocol

Structured nutritional rehabilitation

Pharmacologic and psychotherapeutic

Medication strategy

Psychotherapy

Special Populations

Pregnancy

Pregnancy considerations

Geriatric

Older adult features

Pediatrics

Pediatric differences

Background

Epidemiology

Burden and mortality

Pathophysiology

Mechanisms of complication

Therapeutic Considerations

Treatment principles

Long-term outcomes

Patient Discharge Instructions

copy discharge instructions

Anorexia nervosa home care

Warning signs to return to ER

Follow up

Recovery expectations

References

Guidelines and key sources

Guideline sources

Landmark reviews and trials

Coding standards

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.