Susie is a 16-year-old who is at the 5th percentile for weight and height and is being seen for a well-child exam. She looks frail compared to her parents and siblings. When should you consider the diagnosis of an eating disorder? Select all that apply:

A. Wait until you run some general lab tests.
B. Rule out any medical causes of weight loss first.
C. Eating disorder is part of the initial differential diagnosis.
D. Wait until Susie has some complications associated with weight loss.
E. Wait until Susie's mother raises a concern about an eating disorder.

Consider the diagnosis of an eating disorder when certain conditions are met, including ruling out medical causes of weight loss and having eating disorder as part of the initial differential diagnosis.

Explanation:

The diagnosis of an eating disorder should be considered in Susie's case when:

A. You run some general lab tests to rule out any medical causes of weight loss.

B. You rule out any medical causes of weight loss first.

C. Eating disorder is part of the initial differential diagnosis.

These considerations should be made because eating disorders can result in being underweight, and Susie's frail appearance and being at the 5th percentile for weight and height are red flags. It is important to rule out medical causes of weight loss and consider the possibility of an eating disorder in order to provide appropriate care and support for Susie.

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