{"title":"More Than Just Teenage Angst?","authors":"Julie Leviter MD , Erika Constantine MD","doi":"10.1016/j.cpem.2019.100730","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>A 17-year-old girl with a history of anxiety and emotional dysregulation presented to the </span>emergency department with abdominal pain, weight loss, </span>dizziness<span>, and vomiting. She had previously been prescribed several medications for ongoing somatic and psychiatric complaints, but her symptoms continued to escalate. She was noted to have significant weight loss, orthostatic hypotension, a prolonged QTc on electrocardiogram, and a serum sodium of 130 mEq/L. She was admitted with concern for an eating disorder. While inpatient, her symptoms continued to evolve, and a test was sent that revealed her underlying diagnosis.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100730"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100730","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatric Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522840119300862","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
A 17-year-old girl with a history of anxiety and emotional dysregulation presented to the emergency department with abdominal pain, weight loss, dizziness, and vomiting. She had previously been prescribed several medications for ongoing somatic and psychiatric complaints, but her symptoms continued to escalate. She was noted to have significant weight loss, orthostatic hypotension, a prolonged QTc on electrocardiogram, and a serum sodium of 130 mEq/L. She was admitted with concern for an eating disorder. While inpatient, her symptoms continued to evolve, and a test was sent that revealed her underlying diagnosis.
期刊介绍：
This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results.
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