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You are covering the inpatient service when you are called by an adolescent medicine physician in your community regarding a 12-year-old girl named Reese. The physician is seeing Reese for the first time today after a referral for weight loss related to a suspected eating disorder. Reese’s parents report that she has been severely restricting her diet for the past 2 months. In the adolescent medicine clinic today, Reese is found to have a low resting heart rate, orthostatic hypotension, and a 14-lb (6.4-kg) weight loss compared to her weight 2 months ago. You and the adolescent medicine physician decide to directly admit Reese to the pediatric unit.

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