13. Impulse Control Disorders Flashcards
A low level of what has been found in the CSF of some impulsive individuals?
5-HIAA (primary metabolite of serotonin)
*Low levels of serotonin in CSF have been shown to be associated with impulsiveness and aggression
65 % of patients with Kleptomania suffer from what?
Bulimia nervosa
Kleptomania more common in women or men?
3x more common in women
metabolic state in someone who is purging
hypokalemic hypochloremic metabolic alkalosis
Type of anemia in patient with anorexia
normocytic normochromic
Cortisol low or high in AN
High
Estrogen/testosterone low or high in AN
Low
Anorexia vs. major depressive disorder
AN: patients have a GOOD appetite but starve themselves due to distorted body image. Often quite preoccupied with food but don’t eat it themselves.
Major depressive disorder: patients usually have a poor appetite which leads to weight loss. They have no increased interest in food.
Refeeding syndrome
Electrolyte and fluid shifts that occur when severely malnourished patients are refed too quickly. Look for fluid retention and decreased levels of Phosphorous, Magnesium, and Calcium.
Complications: arrhythmias, respiratory failure, delirium, seizures
Most common causes of death in AN
Starvation
Suicide
Cardiac failure
Best medicine in AN?
FOOD
BN body weight
Normal or overweight
More likely to seek help: AN or BN?
BN: their symptoms are more ego-dystonic (distressing)
Definition of binge eating
Excessive food intake within a 2-hour period accompanied by a sense of lack of control
Sialadenosis
Salivary gland enlargement
