Paeds Vivas · adolescent-and-young-adult-medicine
Eating disorders: refeeding and multidisciplinary care — branching viva
Branching viva on refeeding-syndrome risk stratification, micronutrient and electrolyte management, higher-calorie refeeding evidence, family-based treatment and multidisciplinary-care discharge planning.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar on the adolescent ward. The examiner will move from refeeding risk stratification, through the mechanism and prevention of refeeding syndrome, the evidence on calorie dosing, family-based treatment, and discharge and step-down planning.
Stem
The examiner will test whether you can run a safe refeeding and multidisciplinary-care pathway under pressure. [1] [6]
References7ShowHide
- [1]Mehanna HM; Moledina J; Travis J Refeeding syndrome: what it is, and how to prevent and treat it. BMJ, 2008.PMID 18583681
- [2]O'Connor G; Nicholls D Refeeding hypophosphatemia in adolescents with anorexia nervosa: a systematic review. Nutrition in Clinical Practice, 2013.PMID 23459608
- [3]Garber AK; Cheng J; Accurso EC; Adams SH Short-term Outcomes of the Study of Refeeding to Optimize Inpatient Gains for Patients With Anorexia Nervosa: A Multicenter Randomized Clinical Trial. JAMA Pediatrics, 2021.PMID 33074282
- [4]Golden NH; Cheng J; Kapphahn CJ; Buckelew SM Higher-Calorie Refeeding in Anorexia Nervosa: 1-Year Outcomes From a Randomized Controlled Trial. Pediatrics, 2021.PMID 33753542
- [5]Lock J; Le Grange D; Agras WS; Moye A Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Archives of General Psychiatry, 2010.PMID 20921118
- [6]Rosen DS; American Academy of Pediatrics Committee on Adolescence Identification and management of eating disorders in children and adolescents. Pediatrics, 2010.PMID 21115584
- [7]Garber AK; Sawyer SM; Golden NH; Guarda AS A systematic review of approaches to refeeding in patients with anorexia nervosa. International Journal of Eating Disorders, 2016.PMID 26661289