不仅仅是青少年焦虑?

Q3 Medicine Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI:10.1016/j.cpem.2019.100730

Julie Leviter MD , Erika Constantine MD

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引用次数: 0

摘要

一名17岁女孩，有焦虑和情绪失调史，因腹痛、体重减轻、头晕和呕吐来到急诊科。她以前曾因持续的身体和精神疾病开过几种药物，但她的症状继续升级。患者体重明显减轻，体位性低血压，心电图QTc延长，血清钠130 mEq/L。她因饮食失调而入院。在住院期间，她的症状继续发展，一项测试显示了她的潜在诊断。

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More Than Just Teenage Angst?

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.

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来源期刊

Clinical Pediatric Emergency Medicine PEDIATRICS-

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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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