Question

How would you classify her weight during the preemployment physical visit?

		Ana's weight status would be considered normal
		Ana's weight status would be considered underweight
		Ana's weight status would be considered overweight
		Ana's weight status was the same as it was in her school nurse visit

Does Ana have an eating disorder and if so, which type?

		Ana does not display a pattern of disordered eating. Ana has increased the amount she runs due to her plan to join the cross-country team. Ana is young and growing and with the amount she is working out it is hard to keep on weight.
		Ana does display a pattern of disordered eating, which appears to have progressed to bulimia nervosa. The bulimic behaviors Ana displays are binging followed by purging behaviors such as running until she has burned all of her calories.
		Ana does display a pattern of disordered eating, which appears to have progressed to anorexia athletica. The anorexic behaviors Ana displays would most likely be classified as the non-restrictive type based on the purging behavior of compensatory exercise.
		Ana certainly displays a pattern of disordered eating, which appears to have progressed to anorexia nervosa. The anorexic behaviors Ana displays include refusing to gain weight or eat an adequate number of calories and a body weight less than minimally normal weight for her age/height. Ana is a 15-year-old high school student who is active in school activities, loves to run and bike, and has a 3.95 grade point average. She has a close group of friends that she spends her free time with; her parents are very proud of her for her outstanding academic performance School Nurse Visit: Ana being seen at the school clinic for a sore throat and fever. The nurse takes her height (5'3") and weight (107 lb). Ana is diagnosed with strep throat infection and is given antibiotics Sports Physical Visit: Ana is seen 4 months later (in early fall) by her pediatrician for a sports physical, since she is planning to join the cross-country running team. Weight t this time 96 pounds. The physician notes that Ana seems to be tired and has lost weight since her most recent visit to the clinic. Ana replies that she has had a lot of sinus and other infections, which causes her to lose her appetite. She also notes that she has been training hard to make the cross-country team but that her training should become less intense now that she has made the team. Ana assures the physicians that she will try to eat more in the future. They physician encourages her to eat more carbohydrates and protein to improve her sports performance. Pre-employment Physical Visit: Ana is seen by her family physician for a preemployment physical in early June. At this time her weight is 91 pounds. The physician is concerned about her weight, but Ana assures her that she looks and feels fine. The MD refers her to the outpatient clinical dietitian. During the interview with the dietitian, it is noted that Ana eats only twice a day, with many diet beverages in between these meals. The dietitian suggests that Ana increase her weight to at least 95 pounds, but she refuses, stating that at this weight she would "have too much fat in her thighs" for running. When asked about the use of diet pills, laxatives, and other diet aids, Ana states that she doesn't need these because she has enough willpower to reduce her food intake on her own. She also denies vomiting after eating. When asked about her willingness to reduce her running so that she could reach a more healthy weight, Ana get agitated. The dietitian asks Ana how she determines how much or how long she needs to run. Ana states that she runs as long as she needs to so that she can use up all of the calories she has eaten. When the dietitian suggests that this is compensatory exercise and is a form of purging, Ana becomes upset and leaves. The dietitian looks for her parents in the waiting room, and lets Ana's mother know that she thinks there may be an eating issue that the family should deal with. The mother thanks the dietitian for letting her know and leaves, as Ana has already gone to the parking lot. The dietitian confers with the physician and her parents are sent information about eating disorders, . at.. including possibly outcomes and treatment options. Three months later, the clinic is notified that Ana has fainted at gym class in school and that the hospital where she was taken has referred her for an in-patient eating disorder evaluation.

Answer 1

During premployement physical visit her weight is 91 pounds (41kg) from107 pounds (48.5kg).It means she has reduced weight in a period of four months due to disordered eating pattern.In accordance to he age she should weigh around 115pounds but she is only 91 pounds, if means she is underweight

Ans:Ana's weight status would be considered underweight

The first statement is wrong because Ana exhibits an eating disordered pattern

The second and third statement mention purging which she doesn't do after eating

Ana seems to have a eating disorder which makes her to have a minimum number of meals or food intake in a day ,trying to avoid weight gain (she stated she will put on weight in thigh) in accordance to her age and height .The case is similar to anorexia nervosa a state where foods are avoided in a fear of gaining weight.This is evident by her excess exercise, refusing to eat foods.

Ans:Ana displays a pattern of disordered eating,which appears to have progressed to anorexia nervosa.The anorexic behaviours Ana displays include refusing to gain weight or eat an adequate number of calories and a body weight less than minimally normal weight for her age/height