Possible Findings on Physical Examination in Children and Adolescents With Eating Disorders
| Anorexia Nervosa | Bulimia Nervosa |
|---|---|
| Bradycardia | Sinus bradycardia |
| Orthostatic by pulse or blood pressure | Orthostatic by pulse or blood pressure |
| Hypothermia | Hypothermia |
| Cardiac murmur (one third with mitral valve prolapse) | Cardiac murmur (mitral valve prolapse) |
| Dull, thinning scalp hair | Hair without shine |
| Sunken cheeks, sallow skin | Dry skin |
| Lanugo | Parotitis |
| Atrophic breasts (postpubertal) | Russell’s sign (callous on knuckles from self-induced emesis) |
| Atrophic vaginitis (postpubertal) | Mouth sores |
| Pitting edema of extremities | Palatal scratches |
| Emaciated, may wear oversized clothes | Dental enamel erosions |
| Flat affect | May look entirely normal |
| Cold extremities, acrocyanosis | Other cardiac arrhythmias |