21.1 Eating Disorders Flashcards
Anorexia Nervosa physical findings?
- brady
- hypotensive
- ECG: PR interval
Anorexia Nervosa urine shows?
urine: alkaline, low speific gravity
Anorexia Nervosa abusing laxatives, affects which electrolyte?
magnesium
Anorexia Nervosa phosphate?
hypophosphetaemia
who gets Anorexia Nervosa?
- usually female
- lose menstruation
- around menarche
- anxious
- weight loss, 6-7kg in 4/12
ESR levels in Anorexia Nervosa?
ESR is low in Anorexia Nervosa
common way to die from Anorexia Nervosa?
in sleep.
hypothermic - hypoglycaemic, hypophosphataemic - long QTc - heart stops
most important electrolyte in refeeding syndrome?
phosphate
Anorexia Nervosa refeeding strategies?
more protein/fat
highest risk of Anorexia Nervosa refeeding syndrome
day 4 - lowest phosphate
Anorexia Nervosa refeeding, who is more at risk
lower BMI Anorexia Nervosa ppl
Anorexia Nervosa refeeding, continuous or interval feeding?
-continuous at the start
Anorexia Nervosa refeeding, how to target brain matter?
likely omega 3s on top of normal caloric replacement
malnutrition and bone loss how much per year?
4-10% per year
liver toxicity in Anorexia Nervosa?
hepatocellular steatosis
- raised transaminases
- cholesterol HDLs