title: Fifteen minute consultation: A structured approach to the management of children and adolescents with medically unstable anorexia nervosa.
abstract: Assessing and managing children who are underweight is an integral part of paediatric practice. Young people with anorexia nervosa (AN) are mainly cared for in the community by specialist eating disorder services. However, increasing numbers require admission to paediatric wards with medical instability due to the complications of starvation. Despite recommendations published in the junior MARSIPAN report in 2012, many paediatricians still feel poorly equipped to care for these high-risk patients. This article aims to provide a safe and structured approach to the assessment and management of children and adolescents with medically unstable AN.
authors.affiliation: Department of Paediatrics, Airedale NHS foundation trust, Steeton, UK.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Allison
authors.affiliation: Community Eating Disorder Service for Children and Young People, Hillbrook Child and Adolescent Mental Health Service, Keighley, UK.
authors.forename: Nicola
authors.initials: N
authors.lastname: Dawson
authors.affiliation: Department of Paediatrics, Airedale NHS foundation trust, Steeton, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Phillips
authors.affiliation: Monash Children's Hospital, Clayton, Victoria, Australia.
authors.forename: Catherine
authors.initials: C
authors.lastname: Lynch
authors.affiliation: Monash Children's Hospital, Clayton, Victoria, Australia.
authors.forename: Jacinta
authors.initials: J
authors.lastname: Coleman
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health / Q000592:standards*; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010372:Pediatrics / Q000592:standards*; D017410:Practice Guidelines as Topic; D013851:Thinness / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*
keywords: Adolescent Health; Child Psychiatry; General Paediatrics; Nutrition; Paediatric Practice