Step 1 is an exam required of medical students as part of licensing which assesses knowledge and application of basic science concepts relating to medicine, and assigns students a numerical score, with 194 as the minimum to pass. Recently, the USMLE announced that Step 1 reports will change from a numerical grade to pass/fail.

Although the complications of psychiatric conditions are vast, irreversible kidney damage as the leading cause of death is an infrequent occurrence. There have not been many documented cases that discuss how an eating disorder results in chronic metabolic disturbance due to permanent scarring of the renal interstitum.