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Decreased bone density
0%
0/26
Tachycardia
69%
18/26
Brittle nails
4%
1/26
Lanugo
12%
3/26
Amennorhea
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The patient in this clinical scenario is most likely experiencing symptoms of the female athlete triad - eating disorder (most likely anorexia nervosa), amenorrhea, and osteoporosis. In anorexia nervosa, individuals experience bradycardia NOT tachycardia. Bradycardia is thought to be due to a decrease in basal metabolic rate that arises as an adaptive response to starvation. The female athlete triad is a set of symptoms (eating disorder, osteoporosis, and amenorrhea) typically seen in female athletes who participate in athletics where weight plays a large factor, such as ballet, track, gymnastics, etc. Athletes will train hard and refrain from eating in an attempt to lose weight faster. Many will refrain from eating "bad foods," while others will develop anorexia nervosa or bulimia nervosa. The increased training along with the significant decrease in nutrient/caloric intake will result in decreased bone density, leading to an increase in fractures. The significant weight loss or low body-weight affects the release of gonadotropic hormones from the hypothalamus, resulting in amenorrhea. Incorrect Answers: Answer 1,3-5: All of these signs and symptoms are experienced in individuals with anorexia nervosa.
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