مريضة عمرها ١٩ سنة وزنها ٣٨ كجم وطولها ١٦٥ سم، تمارس الرياضة ساعات يومياً وتخاف من زيادة الوزن. نبضها ٤٤ والبوتاسيوم ٢٫٩. ما الأولوية؟

A 19-year-old woman weighs 38 kg at 165 cm, exercises for hours daily and fears weight gain. HR 44, potassium 2.9. What is the priority?

1. Start group psychotherapy
2. Increase light exercise gradually each day
3. Medical stabilisation and cardiac monitoring
4. Discuss her body image first

Answer: C) Medical stabilisation and cardiac monitoring. Severe bradycardia and hypokalaemia threaten the heart, so physical stabilisation comes first; phosphate is watched for refeeding syndrome when feeding starts.