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NEDA TOOLKIT for Parents Special Circumstances Level of Care If uncertain of diagnosis: Once a diagnosis is made, a level of care will be recommended based on the physical, psychiatric, and laboratory findings. Pursue the level of care that is recommended for your child. This may include inpatient, outpatient, intensive outpatient, partial hospital, or residential treatment. Erythrocyte sedimentation rate Radiographic studies (computed tomography or magnetic resonance imaging of the brain or upper or lower gastrointestinal system) If patient has been amenorrheic for 6 months: Urine pregnancy, luteinizing and follicle- stimulating hormone, and prolactin tests If patient is 15% or more below ideal body weight (IBW): Chest x-ray Complement 3 (C3) 24 Creatinine Clearance Uric Acid If patient is 15% or more below IBW lasting 6 months or longer at any time during course of eating disorder: Dual Energy X-Ray Absorptiometry (DEXA) to assess bone mineral density Estradiol Level (or testosterone in male) If patient is 20% or more below IBW or any neurologic sign: Brain Scan If patient is 20% or more below IBW or sign of mitral valve prolapse: Echocardiogram If patient is 30% or more below IBW: Skin Testing for Immune Functioning Page | 16