Adapted from Article by Young J, Henderson M, Thompson G
A 32-year-old female with a history of binge-purge type anorexia nervosa presented with abdominal pain and weight loss of 8 kg over the preceding 2 weeks. She denied prior diuretic or laxative abuse. Physical examination showed a thin female with a BMI of 14.2 kg/m2. The dorsal aspect of her hands revealed abrasions, callosities, and scarring.
Her hands were contracted in tetany, flexed at the metacarpophalangeal joints, with extension at the interphalangeal joints with the thumb flexed and adducted.
Laboratory studies revealed a serum calcium of 5.3 mg/dl, albumin of 3.0 g/dl, and normal serum 25-hydroxyvitamin D and parathyroid hormone levels.
This case is adapted from the following article: Anorexia Nervosa: Russell's Sign with Concurrent Tetany; Young J, Henderson M, Thompson G; JGIM 2011, June; 26(6):668 This article is available on PubMed Central
Learn How to Submit Here
Penny Shutt (Accompanying painting by Sohi Mistry) I hesitate at the doorway to your side-room, ....
(Accompanying painting by Sohi Mistry)
I hesitate at the doorway to your side-room, ....
The Role of Community-Based Participatory Research to Inform Local Health Policy:
A Case Study.
O’Brien, Matthew J.; Whitaker, Robert C.
Presyncope and a Cardiac Mass
Jorge Roman, B.S., Patrick T. Roughneen, M.D.
Bridges to the Island: The Abandonment of Addiction
Anant Shukla, MD
A Prescription for Kindness
Bui, Simonetti, Benson, Malek and Anderson
Dual Process Theory Overview
Reza Manesh, Denise M. Connor, Jeff Kohlwes
From the SGIM Forum editor: End-of-Life Care. https://t.co/dBliI4boYl @HorowitzKaren
Follow SGIM on Twitter: @SocietyGIM
Follow SGIM on Facebook: SocietyGIM
Follow SGIM on: LinkedIn
Learn more about Apply for CME at sgim.org
Latino adults with diabetes who participated in a church-based education program reported eating less high-fat food and exercising more following a trial intervention program run by researchers from University...
© Society of General Internal Medicine | SGIM
1500 King Street Ste 303 Alexandria, VA 22314