[NP-Clinical] Sports PE question -

[Patricia.Thompson at hattiesburgclinic.com]

Priscilla
Look at this website for identification and treatment of AN and see if it help. I would have done what you did and investigated to see if there was something going on since the accident that might require a psych consult.
aappolicy.aappublications.org/cgi/content/full/pediatrics;111/1/204
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I wondered if anyone has handy the guidelines on deferring athletic
clearance on BMI.  I had a student who I strongly suspect has AN.  Of
course, she denies and has always been thin.  Was in serious MVA last year
and was cleared by neuro but has gone from BMI of 17.2 to 14.9.  Breath was
on the ketotic side, heart exam normal but really skeletal appearing.  She
denied any health problems but I deferred her clearance to her PCP.  This
was at our high school so I'm not her PCP.
I couldn't find any standards and Lorraine's book is on loan so not handy. 
It has a great sports PE and went to her NPACE workshop which was great but
we didn't touch on BMI.
Thanks for any advice.  I hated to be the heavy and don't know the family
but followed my gut.  
Priscilla Merrill FNP

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