The Reproductive Impact of Eating Disorders in Adolescents.

Eating disorders are common, chronic illnesses that frequently arise during adolescence. Because of the impact on nutrition, individuals with eating disorders have significant health consequences, including effects on reproductive health. Adolescent women with eating disorders frequently have menstrual irregularities, though the causes of these abnormalities are complex and vary depending on the type of eating disorder.

A weighty issue: refeeding an adolescent patient on dialysis.

Background: For malnourished patients with end stage renal disease (ESRD) on hemodialysis (HD), refeeding is complex; true weight (dry weight) gain must be accounted for as it accrues to safely dialyze.

Objective: This case describes the challenge of following true weight to appropriately adjust treatment for a patient with ESRD on HD requiring inpatient refeeding.

Methods: A 17-year-old female presented to an adolescent clinic after referral from her nephrologist for malnutrition and disordered eating.

Medical Child Abuse: An Unusual "Source" of Vaginal Bleeding.

Background: Medical child abuse (MCA) is challenging to diagnose. Although young children are often affected, adolescents can be victims through caregiver coercion. Presentation is highly variable.

Case Report: Persistent Genital Arousal Disorder in an Adolescent Woman.

Background: After several visits with unrelated complaints, a 16-year-old female patient disclosed symptoms of unwanted genital arousal and was diagnosed with persistent genital arousal disorder (PGAD).

Case: A 16-year-old female patient with history of depression, sexual abuse, and dysmenorrhea insistently requested etonogestrel rod removal. At 2 visits after implant removal, the patient disclosed the reason for her insistence: PGAD symptoms developed after implant insertion, although they worsened with removal.

Trends and Substance Use Associations With E-Cigarette Use in US Adolescents.

Concerns exist that e-cigarette use may introduce adolescents to drugs. This study explores trends and associations of inhaled tobacco use with drug use. We performed a secondary data analysis on the National Youth Risk Behavior Survey examining the inhaled tobacco and drug use patterns among US teens.

Delay in an Eating Disorder Diagnosis: The Reason Was a "Shox".

Background: Patients' underlying medical conditions might affect the presentation and progression of an eating disorder.

Case: We describe a patient with an undiagnosed, rare, genetic skeletal dysplasia with effects on body mass index that likely led to body image distortion and delayed the diagnosis of an eating disorder.

Summary And Conclusion: It is critical to fully assess disordered eating in the context of each patient's clinical status.

An Unusual Etiology of Hypokalemia in a Patient With an Eating Disorder.

Patients with eating disorders are at risk for electrolyte imbalances that can lead to life-threatening complications. Timely recognition and evaluation of electrolyte abnormalities, including hypokalemia, are essential. In this case report, we describe an uncommon etiology of hypokalemia in a patient with disordered eating.