8
Assessment
Table 3. Signs and Symptoms of Eating Disorders
Organ System Symptom/Sign
1
Related to nutritional
restriction Related to purging
Musculoskeletal Proximal muscle weakness,
wasting, or atrophy
Musculoskeletal Muscle cramping
Musculoskeletal Bone pain
2
Bone pain
2
Musculoskeletal Stress fractures
2
Stress fractures
2
Musculoskeletal Slowed growth
(relative to expected)
2
Slowed growth
(relative to expected)
2
Dermatological Dry, yellow skin
Dermatological Change in hair including hair
loss and dry and brittle hair
Dermatological Lanugo
Dermatological Scarring on dorsum of hand
(Russell's sign)
Dermatological Poor skin turgor Poor skin turgor
Dermatological Pitting edema (with
refeeding)
Pitting edema
1
Symptoms are in regular font; signs are in italic font.
2
Risk of skeletal effects is in individuals with previous low weight and menstrual irregularity
or amenorrhea.
(cont'd)
