Medical Assessment

  • Alastair McKinlayEmail author
  • Rebecca McKay


  • What are the main components of the history the presenting complaint?

  • Is dysphagia a common symptom in uncomplicated eating disorders?

  • What conditions are associated with chest pain?

  • How can the severity of upper GI bleeding be assessed and scored?

  • What are the common causes of abdominal pain in patients with eating disorders?

  • How is the Body Mass Index (BMI) calculated?

  • What are the “refeeding ions” and why is it important to measure them?

  • How can a problem list be constructed?


  1. 1.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th edn) (DSM-5). 5th ed. Washington, DC: APA; 2013.CrossRefGoogle Scholar
  2. 2.
    Drossman DA, Hasler WL. Rome IV-functional GI disorders: disorders of gut-brain interaction. Gastroenterology. 2016;150(6):1257–61.CrossRefPubMedGoogle Scholar
  3. 3.
    Hinney A, Volckmar A. Genetics of eating disorders. Curr Psychiatry Rep. 2013;15(12):423.CrossRefPubMedGoogle Scholar
  4. 4.
    Douglas G, Nicol F, Robertson C. Macleod’s clinical examination. 13th ed. Churchill Livingstone Elsevier: Edinburgh; 2013.Google Scholar
  5. 5.
    National Institute for Health and Care Excellence (NICE). Suspected cancer: recognition and referral. 2015. Accessed 22 Mar 2017.
  6. 6.
    Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000;356(9238):1318–21.CrossRefPubMedGoogle Scholar
  7. 7.
    Norris ML, Harrison ME, Isserlin L, Robinson A, Feder S, Sampson M. Gastrointestinal complications associated with anorexia nervosa: a systematic review. Int J Eat Disord. 2016;49(3):216–37.CrossRefPubMedGoogle Scholar
  8. 8.
    Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32(9):920–4.CrossRefPubMedGoogle Scholar
  9. 9.
    The Royal Colleges of Psychiatrists, Physicians and Pathologists UK. MARSIPAN: management of really sick patients with anorexia nervosa, 2nd ed. 2015. Accessed 4 Jan 2015.
  10. 10.
    Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Wallingford: CABI; 2003.CrossRefGoogle Scholar
  11. 11.
    British Association for Parenteral and Enteral Nutrition. Malnutrition universal screening tool - MUST complete. 2016. Accessed 29 Feb 2016.
  12. 12.
    Sachs KV, Harnke BMLIS, Mehler PS, Krantz MJ. Cardiovascular complications of anorexia nervosa: a systematic review. Int J Eat Disord. 2016;49(3):238–48.CrossRefPubMedGoogle Scholar
  13. 13.
    Rotondi F, Manganelli F, Lanzillo T, Candelmo F, Di Lorenzo E, Marino L, et al. Tako-tsubo cardiomyopathy complicated by recurrent torsade de pointes in a patient with anorexia nervosa. Intern Med. 2010;49(12):1133–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Abdominal wall tenderness test: Could Carnett cut costs? Lancet. 1991;337(8750):1134.Google Scholar
  15. 15.
    Bern EM, Woods ER, Rodriguez L. Gastrointestinal manifestations of eating disorders. J Pediatr Gastroenterol Nutr. 2016;63(5):e77–85.CrossRefPubMedGoogle Scholar
  16. 16.
    The National Institute for Health and Care Excellence (NICE). Coeliac disease: recognition, assessment and treatment. [NG20]. 2015. Accessed 23 Mar 2017.
  17. 17.
    Weed LL. Medical records that guide and teach. N Engl J Med. 1968;278(11):593–600.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Aberdeen Royal Infirmary and University of AberdeenAberdeenUK
  2. 2.Leeds Teaching Hospitals NHS TrustLeedsUK

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