Full Description
This practical reference provides pediatricians, hospitalists, and clinicians with guidance on diagnosing and treating pediatric eating disorders. Pediatric eating disorders are brain-based mental health conditions and the third most common chronic illness in adolescents and pediatric patients—yet they can be difficult to detect, and patients may not present until a medical emergency already exists. Drawing on extensive clinical experience in pediatric eating-disorder treatment, Emory Associate Professor Anna B. Tanner, MD, FAAP, FSAHM, CEDS-C, FAED lays out how to evaluate youth medically, recognize (and respond to) hidden emergencies, and reduce the risk of lifelong consequences such as impaired brain development and lost height potential. This book provides in-depth discussion of each DSM-5 eating disorder, including anorexia nervosa, bulimia nervosa, avoidant/restrictive food intake disorder (ARFID), binge-eating disorder (BED), atypical anorexia nervosa (AAN), and more.
The author emphasizes youth-specific realities (including why BMI is not a useful measurement when assessing nutrition in children and adolescents) and offers sample dialogue for sensitive family conversations—along with a developmentally informed view of healing, where medical stabilization and psychological remission may not occur on the same timeline.
Topics include
Approaching the Eating Disorders Medical Evaluation
The Medical Complications of Eating Disorders
Evaluating and Supporting Growth in Youth With Restrictive Eating Disorders
Preventing Harm: Recognizing Medical Emergencies When Caring for Youth With Eating Disorders
Medical Monitoring
Supporting Common Medical Concerns During Treatment
Supporting Healing and Understanding Indicators of Recovery and Remission
And more...
Contents
Foreword by Ellen S. Rome, MD, MPH, FAAP, FSAHMPreface
Acknowledgments
Chapter 1. A New Opportunity
Chapter 2. The Importance of Parents
Chapter 3. Approaching the Eating-Disorder Medical Evaluation
Chapter 4. The Medical Complications of Eating Disorders
Chapter 5. Evaluating and Supporting Growth in Youth With Restrictive Eating Disorders
Chapter 6. Preventing Harm: Recognizing Medical Emergencies When Caring for Youth With Eating Disorders
Chapter 7. Medical Monitoring
Chapter 8. Supporting Common Medical Concerns During Treatment
Chapter 9. Youth Populations With Additional Medical Considerations
Chapter 10. Supporting Healing and Understanding Indicators of Recovery and Remission
Appendix A. 75th% of mBMI for Boys and Girls Ages 8 to 20
Appendix B. Medications That May Cause QTc Prolongation
Appendix C. American Academy of Pediatrics Bowel Movement Chart
Appendix D. Signs and Symptoms of Specific Vitamin-Mineral Deficiencies Caused by Dietary Restriction
Appendix E. Summary of Possible Medical Complications, Physical Examination Findings, and Laboratory Value Abnormalities With Eating Disorders
Appendix F. Common Laboratory and Test Abnormalities Associated With Eating-Disorder Behaviors
Index
