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anorexia nervosa - drharsh
#1
why there is metatarsa fractures in anorexia nervosa and also whch type of metabolic changes in it?
pls explain some one
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#2
metatarsal fractures is due to osteoporosis which is caused by estrogen deficiency as a result of less body fat...i don't know abt metabolic abnormalities, if anyone knows...they can explain...
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#3
In osteoporosis, ca, po4 all r normal..
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#4
Endocrine abnormalities are common; they include low levels of luteinizing hormone (decreased secretion), low levels of thyroxine (T4) and triiodothyronine (T3), and increased cortisol secretion. Menses usually cease. Bone mass declines. In severely malnourished patients, virtually every major organ system may malfunction.

Dehydration and metabolic alkalosis may occur, and serum K may be low; all are aggravated by induced vomiting and laxative or diuretic use.

Cardiac muscle mass, chamber size, and output decrease; mitral valve prolapse is commonly detected. Some patients have prolonged QT intervals (even when corrected for heart rate), which, with the risks imposed by electrolyte disturbances, may predispose to tachyarrhythmias. Sudden death, most likely due to ventricular tachyarrhythmias, may occur.

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