Hi there ~
I am glad you have come up with the right questions. I do not think she has malaria
, especially if the sampling was done at the right time. Although you may have to repeat a blood film, I think she has anorexia
as her primary problem. You would have to confirm the diagnosis by doing a complete physical exam and asking her a good psychiatric history. You may also want to consult the DSM (Diagnostic and Statistical Manual) for psychiatric disorders and its latest version is IV-TR but the 5th version is about to be released. Treatment is by doing cognitive behavioral therapy
although you may also treat her with a starting dose of Prozac (Fluoxetine
) at 60 mg after the nightime meal and give her a sedative hypnotic
. The sudden fall in blood pressure may be attributable to poor hydration which is the most likely cause, however an electrolyte check may be in place as she may have started to purge after treatment as they start getting better. Regular (daily is ideal) check up is recommended.
I hope this helped. Take care and have a lovely day !