I-Human lisa Henderick
Catherine Miller RN, BSNNRNP
6541C Week 10 , 16-year-old,
Caucasian, Female
, I-Human lisa Henderick Catherine Miller RN,NRNP 6541C Week 10
Primary Care of Adolescents & Children
Patient Information: EH, 16-year-old, Caucasian, Female Subjective:
CC (chief complaint): Recent weight loss reported by family
HPI: 16 y/o, WF, accompanied by her mother with concerns overs weight loss. Reports having
lost 30 lbs total in the last year, 20 lbs in past 6 months. The patient states she will wake up in
the middle of the night to exercise, uses laxatives, and restricts calories. Admits to binge eating
followed by self-induced vomiting. BMI is 15.7. Episode of syncope a few days ago. Menstrual
irregularities and has not had a period in 3 months. Denies pregnancy and reports has not been
sexually active in 1 year. Parents divorced 1 year ago. She denies depression, admits being
anxious about how she is perceived by others. Mother reports concerns about depression and
loss of interest. Recent left metatarsal fracture. Physical exam, patient is noticeable cachexic
with fine thinning hair, cracked lips, mild angular cheilitis, and abrasions and calluses on the
dorsum of her right hand. She is bradycardic with orthostatic hypotension. No laboratory
studies to review yet.
Current meds: None
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