فتاة عمرها ١٩ سنة عندها فقدان شهية عصبي، دخلت المستشفى بمؤشر كتلة جسم ١٤، والنبض ٤٢، والبوتاسيوم ٢٫٨. ما الأولوية؟

A 19-year-old with anorexia nervosa is admitted with BMI 14, pulse 42 and potassium 2.8 mmol/L. What is the priority?

1. Cardiac monitoring and electrolyte correction
2. Focusing on discussing body image with her
3. Starting intensive family therapy sessions
4. Letting her choose her meals to build trust

Answer: A) Cardiac monitoring and electrolyte correction. Severe bradycardia and hypokalaemia threaten fatal arrhythmia, so physical stabilisation comes first, with caution about refeeding syndrome by monitoring phosphate. Psychological and family therapy are essential but follow securing her safety.