IHUMAN CASE STUDY: JAMIE JOHANSON – A 19-YEAR-OLD
FEMALE WITH ANOREXIA NERVOSA REQUIRING INPATIENT
BEHAVIORAL HEALTH ADMISSION
PART 1: PATIENT BIO DATA & INITIAL DATA
GATHERING
Category Details
Name Jamie Johanson
Age 19 years old
Gender Female
Admission
Admitted to behavioral health unit
Type
Reason for Intervention for anorexia nervosa following
Admission failure in outpatient management
Source Patient (self) and outpatient treatment records
Limited due to psychological aspects of eating
Reliability disorder; collateral history from outpatient
providers
Allergies No Known Drug Allergies (NKDA)
PART 2: PAST MEDICAL HISTORY (PMH)
, Condition Details
Diagnosed; failed outpatient
Anorexia Nervosa
management
Duration of Eating
Not specified; likely chronic
Disorder
Previous Treatment Outpatient management failed
Other Medical
Not specified
Conditions
Key History Points:
Admitted for specialized inpatient treatment
Outpatient management unsuccessful
Significant weight loss
PART 3: PAST SURGICAL HISTORY (PSH)
Surgery Details
None reported No surgical history documented
PART 4: VITAL SIGNS & ANTHROPOMETRICS
Measurement Value Interpretation
Height 5'4" (64 inches)
Weight 98 lbs Severely underweight
, Measurement Value Interpretation
Underweight (Normal: 18.
BMI 16.8 kg/m²
24.9)
Low-normal; possible
Temperature 97.4°F
hypothermia risk
Bradycardic (Normal: 60-
Pulse 56 bpm
100)
Respiratory 14
Low-normal
Rate breaths/min
Hypotensive (Normal:
Blood Pressure 98/60 mmHg
>100/60)
Oxygen
98% Normal
Saturation
PART 5: PHYSICAL EXAMINATION (PE) –
ANTICIPATED FINDINGS
Based on anorexia nervosa presentation :
General Appearance
Cachectic appearance
Thin, emaciated physique
May be wearing layered clothing to hide thinness or keep
warm
, Vital Signs Abnormalities
Abnormality Mechanism
Cardiac muscle wasting; compensato
Bradycardia (HR 56)
mechanism
Hypotension (BP 98/60) Decreased cardiac output; dehydratio
Hypothermia (Temp Loss of subcutaneous fat; poor
97.4°F) insulation
Bradycardia Metabolic adaptation to starvation
HEENT Examination
Eyes: Sunken appearance possible (dehydration)
Oral cavity: Dental erosion possible (if purging behavior
present)
Parotid gland enlargement possible (if purging)
Mucous membranes: May be dry (dehydration)
Cardiovascular Examination
Rate: Bradycardic
Rhythm: Regular
Murmurs: Possible mitral valve prolapse (associated
with low BMI)
Peripheral pulses: Weak or thready
Capillary refill: May be delayed
Respiratory Examination
FEMALE WITH ANOREXIA NERVOSA REQUIRING INPATIENT
BEHAVIORAL HEALTH ADMISSION
PART 1: PATIENT BIO DATA & INITIAL DATA
GATHERING
Category Details
Name Jamie Johanson
Age 19 years old
Gender Female
Admission
Admitted to behavioral health unit
Type
Reason for Intervention for anorexia nervosa following
Admission failure in outpatient management
Source Patient (self) and outpatient treatment records
Limited due to psychological aspects of eating
Reliability disorder; collateral history from outpatient
providers
Allergies No Known Drug Allergies (NKDA)
PART 2: PAST MEDICAL HISTORY (PMH)
, Condition Details
Diagnosed; failed outpatient
Anorexia Nervosa
management
Duration of Eating
Not specified; likely chronic
Disorder
Previous Treatment Outpatient management failed
Other Medical
Not specified
Conditions
Key History Points:
Admitted for specialized inpatient treatment
Outpatient management unsuccessful
Significant weight loss
PART 3: PAST SURGICAL HISTORY (PSH)
Surgery Details
None reported No surgical history documented
PART 4: VITAL SIGNS & ANTHROPOMETRICS
Measurement Value Interpretation
Height 5'4" (64 inches)
Weight 98 lbs Severely underweight
, Measurement Value Interpretation
Underweight (Normal: 18.
BMI 16.8 kg/m²
24.9)
Low-normal; possible
Temperature 97.4°F
hypothermia risk
Bradycardic (Normal: 60-
Pulse 56 bpm
100)
Respiratory 14
Low-normal
Rate breaths/min
Hypotensive (Normal:
Blood Pressure 98/60 mmHg
>100/60)
Oxygen
98% Normal
Saturation
PART 5: PHYSICAL EXAMINATION (PE) –
ANTICIPATED FINDINGS
Based on anorexia nervosa presentation :
General Appearance
Cachectic appearance
Thin, emaciated physique
May be wearing layered clothing to hide thinness or keep
warm
, Vital Signs Abnormalities
Abnormality Mechanism
Cardiac muscle wasting; compensato
Bradycardia (HR 56)
mechanism
Hypotension (BP 98/60) Decreased cardiac output; dehydratio
Hypothermia (Temp Loss of subcutaneous fat; poor
97.4°F) insulation
Bradycardia Metabolic adaptation to starvation
HEENT Examination
Eyes: Sunken appearance possible (dehydration)
Oral cavity: Dental erosion possible (if purging behavior
present)
Parotid gland enlargement possible (if purging)
Mucous membranes: May be dry (dehydration)
Cardiovascular Examination
Rate: Bradycardic
Rhythm: Regular
Murmurs: Possible mitral valve prolapse (associated
with low BMI)
Peripheral pulses: Weak or thready
Capillary refill: May be delayed
Respiratory Examination
