![]() ![]() Review gastrointestinal/malabsorption symptoms, such as vomiting, constipation, and diarrhea, and amount, frequency, and character of stools.Īssess other indications of feeding intolerance, including rashes.Ĭompare caloric intake with estimated caloric needs. Obtain a careful birth, family, past medical, and medication history.Īssess sick contacts/exposure to illnesses and immediate history of febrile or other illnesses.ĭetermine the number of urinations and bowel movements per day. If findings from the workup are negative, attempts to increase caloric intake are insufficient, and an eating disorder is not suspected, refer the patient to a registered dietitian and/or a gastroenterologist.ĭiet and consumption history of child and family, with caloric assessment. Admission criteria if an eating disorder is considered can include less than 75% of the ideal body weight, a supine heart rate less than 50 beats/min, a temperature less than 35.6☌, a systolic blood pressure less than 90 mm Hg, arrhythmia, and orthostatic vital signs. Consider the following assessments: complete blood cell count, comprehensive metabolic panel, C-reactive protein, erythrocyte sedimentation rate, tuberculin test, rapid plasma reagin test, HIV test, tissue transglutaminase plus immunoglobulin A, thyrotropin plus free thyroxine, stool guaiac test/culture/ova/parasites, and urinalysis.Ĭlose follow-up is mandatory. Consider inaccuracy, especially if an eating disorder is possible.Ī basic workup should be performed before attributing the loss to mental health. When considering weight loss, consider the possibility of an error in recorded weights.
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