111b - Eating Disorders Flashcards

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1
Q

How can anorexia: binge/purge subtype be differentiated from bulemia nervosa?

A
  • Anorexia
    • Characterized by intense fear of gaining weight, history of significant weight loss
    • Binging then subsequent purge are to minimize calorie intake
    • More likely to have v low BMI
  • Bulemia nervosa
    • Characterized by loss of control during binges, purge to regain control
    • Weight may fluctuate
    • May also have fear of gaining weight, body dysmorphia
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2
Q

What are the two types of anorexia nervosa?

A
  • Restrictive
  • Binge-purge
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3
Q

List some of the clinical findings of anorexia nervosa

A

Clinical findings

  • Baby hairs on body
  • Hair loss on head
  • Electrolyte abnormalities
  • Dehydration,
  • Hypotension
  • Edema
  • Constipation
  • Osteoporosis
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4
Q

What medication can be used to help manage binge eating disorder?

A

Lisdexamfetamine

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5
Q

Describe the clinical management of anorexia nervosa

A

Goal = weight restoration

  • Phosphorous: may need to replete
  • Psychotherapy = mainstay of treatment
    • CBT for adult patient
    • Family-based for younger patient
  • Nutritionist
  • Hospitalization if necessary

Medications are not effective: food is the medication!

But medication may be helpful to manage anxiety, comorbidities

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6
Q

Which psychological disorder has the highest mortality rate?

A

Anorexia nervosa

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7
Q

Anorexia restrictive type is associated with cluster personality disorders

Anorexia binge/puge type is associated with cluster personality disorders

A

Anorexia restrictive type is associated with cluster c personality disorders

Anorexia binge/puge type is associated with cluster b personality disorders

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8
Q

Which SSRI can be used to manage bulemia?

A

Fluoxetine (an SSRI)

But psychotherapy (CBT or DBT) is the mainstay of treatment

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9
Q

A patient has intense fear of gaining weight, body dysmorphia, and restricted food intake

Which eating disorder is most likely?

A

Anorexia nervosa

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10
Q

The severity of buimia is based on what behavior?

A

Severity is based on the number of inappropriate compensatory behaviors (not number of binges)

  • Mild = 1-3/week
  • Moderate = 4-7/week
  • Severe = 8-12/week
  • Extreme = 14+/week
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11
Q

What is Russel’s sign?

What is it indicative of?

A

Lacerations/abrasions on the backs of hands/fingers

Due to frequent contact with teeth

Indicative of bulimia nervosa

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12
Q

The prognosis of anorexia is [better/worse] than for bulemia

A

The prognosis of anorexia is worse​ than for bulemia

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13
Q

How is bulemia nervosa managed clinically?

A
  • Cognitive behavioral therapy
    • Esp. dialectial behaviorla therapy
  • Medication
    • Fluoxetine (SSRI) - better for adult patients than adolescents
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14
Q

What factors predict good prognosis for anorexia nervosa?

A
  • Younger age of onset
  • Restrictive type (vs binge/purge)
  • Shorter chronicity of illness
  • Higher weight at treatment
  • Good social functioning, support
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