Paeds Vivas · adolescent-and-young-adult-medicine
Eating disorders: recognition and medical instability — branching viva
Branching viva on recognising an eating disorder, applying SCOFF, quantifying medical instability, triaging red flags, and defending admission and multidisciplinary care.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in the emergency department. The examiner will move from a fainting adolescent runner to screening, instability assessment, red-flag triage, admission and multidisciplinary care.
Stem
The examiner will test whether you can recognise an eating disorder under pressure and decide who is medically unstable. [3] [4]
References6ShowHide
- [1]Morgan JF; Reid F; Lacey JH The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ, 1999.PMID 10582927
- [2]Arcelus J; Mitchell AJ; Wales J; Nielsen S Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Archives of general psychiatry, 2011.PMID 21727255
- [3]Golden NH; Katzman DK; Sawyer SM Update on the medical management of eating disorders in adolescents. Journal of adolescent health, 2015.PMID 25659201
- [4]Marikar D; Reynolds S; Moghrabi O; Dave M; Snook J; Harris J Junior MARSIPAN (Management of Really Sick Patients with Anorexia Nervosa). Archives of disease in childhood. Education and practice edition, 2016.PMID 26407730
- [5]Allison E; Nana M; O'Dea C; Spettigue W; Norris M Fifteen minute consultation: A structured approach to the management of children and adolescents with medically unstable anorexia nervosa. Archives of disease in childhood. Education and practice edition, 2017.PMID 28193620
- [6]Trapani S; Mencaroni E; Rocchi A; Marciano C; Belli S; Di Donato M; Rigante D; Stagi S Medical Complications of Anorexia Nervosa. Pediatrics, 2025.PMID 40659363