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Evaluation

Are you evaluating an outpatient with anorexia nervosa?

Age of the patient

years

Current weight

Weight last week

Target weight

Heart rate

beats per minute

Systolic blood pressure

mm Hg

Body temperature

Does the patient have symptomatic hypoglycemia?

Does the patient have significant hypokalemia?

Does the patient have hypophosphatemia?

Has the patient developed a cardiovascular abnormality other than bradycardia or hypotension?

Is the patient able to eat independently?

Does the patient require nasogastric feedings?

Is the patient's home environment abusive and/or antitherapeutic?

Select the appropriate answer for each finding

Cooperation with outpatient treatment

Motivation for change

Insight into seriousness of condition

Suicidal ideation

Coexisting psychiatric disorder

Orthostatic hypotension

Dehydration

Results

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