BMW CLEVER P SCOFF (ANOREXIA NERVOSA)
Clothes: what kind of clothes do you like to wear? Usually they prefer to wear baggy clothes to hide their thin frame
Laxatives: do you take any medications to lose weight such as laxatives?
Eating Less: have you been eating less than you used to? 24hr dietary recall
Vomiting: do you sometimes make yourself sick intentionally after a meal?
Exercise Excessively: how often do you exercise?
Role Models: who are your role models? Could be a classmate or a public figure but usually someone they see as slim.
BMW
B:===> Body image distortion
M:===> Mirrors(always looking herself on d mirror)/Frequent Weighing on weighing scale
W:===> Weight loss(>1 stone in 3 months); target weight?
P:===> Period(LMP)> Amenorrhea
SCOFF CRITERIA FOR DIAGNOSIS OF ANOREXIA NERVOSA
Sick: induced vomiting
Control: do u worry uve lost control over how much you eat?
One Stone: lost more than one stone in the last 3/12?
Fat: Do u see yourself as fat when others say otherwise?
Food: would you say food dominates ur life?
So it goes:
-Introduction
-Few questions about weight loss and mums concern
-
Differentials
- hyperthyroidism: ask for heat intolerance
- Anorexia ask for clever
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complications like weakness, dizziness, light headedness, palpitations
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PMAFTOSA including menstrual history
-FAMISH…just family/friends, mood, suicide
End of history.
It’s long but doable if you are focused and not asking unnecessary questions.