NR606 Final Exam <\/p>\n\n\n\n
Lillian is a 9-year-old who presents with her mother after a referral
from the pediatrician. Lillian is 54 inches tall and currently weighs
55 pounds (lbs). As a toddler, Lillian ate most of the foods offered
to her. When she was 6, she witnessed her grandmother choke
on a piece of meat and receive the Heimlich maneuver; her
grandmother survived, but since then, Lillian refused to eat meat.
Over the past three years, her eating has become more restricted;
she will no longer eat anything that requires chewing. Her mother
has been offering soups, purees, and nutritional supplements, but
Lillian has failed to gain weight as she grows taller. Lillian
endorses that she is frequently bullied at school for her refusal to
eat at lunch and during classroom parties.
Does Lillian meet the diagnostic criteria for ARFID?
yes<\/p>\n\n\n\n
no
unable to determine – Correct Answer – Yes
Rationale: Lillian meets the diagnostic criteria for ARFID. She
presents with avoidance of eating food based on the sensory
characteristics of the food and failure to meet expected weight
gain appropriate for age and height. The behavior interferes with
her psychosocial functioning and is not better explained by
cultural practice, lack of available food, or anorexia nervosa.
David is a 14-year-old who presents with his mother who voices
concerns about his behavior. David is 65 inches tall and weighs
102 lbs. David has been active in competitive wrestling since age
9 and dreams of joining the U.S. Olympic team. Since starting
high school, David has become preoccupied with his body shape
and body fat percentage. He constantly worries about “making
weight” for wrestling meets. Rather than eating lunch at school,
he goes to the weight room to exercise. David’s mom endorses
that when he gets home from wrestling practice, he eats “huge
amounts” of food. Typically, David will eat an entire frozen pizza
before dinner and then have second helpings during the family
meal. He eats dessert and then “disappears” into the bathroom
immediately following dinner. David’s parents became concerned<\/p>\n\n\n\n
after hearing retching sounds in the bathroom. Upon interview,
David admits that when he start<\/p>\n\n\n\n
and admits she is probably too thin, but she does not care
because she is too tired<\/p>\n\n\n\n