History A 17-year-old girl has been brought to the emergency department after her mother found her drowsy in the bed and unable to get up unassisted. She is exhausted but does not complain of any precise problem. However, her mother reports that she has had problems with eating for the past one year and that she has become vegetarian and eats only small quantities. The mother also mentions that the girl is a high-achiever and a perfectionist trying to do many activities at the college. She has been very sporty and exercises daily.
Lately, she has been feeling unwell, generally tired and dizzy but managing to go to college. Examination The girl’s score on the Glasgow Coma Scale is 14/15 (opening eyes to command, moving limbs spontaneously, coherent speech). She looks very thin, with prominent bony structures (while claiming to be a little overweight) and fine body hair. She has had…
