Psych Physical Presentations

Question 1

Anorexia nervosa physical presentation

Answer 1

Muscle wasting
Hair loss 
Lanugo hair (baby hair)
Cold, blue peripheries
Dry skin
Hypercarotenaemia
Bradycardia, hypotension
Bruising

Question 2

Bulimia nervosa physical presentation

Answer 2

Calluses on knuckles (Russel’s sign)
Parotid hypertrophy
Dental caries
U&Es

Question 3

Bulimia nervosa medical complications

Answer 3

Oesophageal reflux
Oesophageal tears/rupture
Hypokalaemia
Subconjunctival haemorrhage
Dehydration
Seizures due to electrolyte abnormalities

Question 4

Heroin withdrawal symptoms

Answer 4

Typically occur within 6-8 hours
Dysphoria and cravings
Agitation
Tachycardia and hypertension
Piloerection (hairs standing on end)
Diarrhoea, nausea and vomiting
Dilated pupils
Joint pains
Yawning
Runny nose (rhinorrhea) and watery eyes (Lacrimation)