5 - Paeds - Safeguarding - CAMHS - Anorexia/Bulimia Nervosa

Question 1

ICD-10 criteria for anorexia?

Answer 1

low body weight (BMI<17.5/15% below normal)
self induced wt loss
overvalued idea
endocrine disturbances

Question 2

ICD-10 criteria for bulimia?

Answer 2

binge eating, methods to counteract wt gain (usually have normal body wt), overvalued idea, binge and purge cycle

Question 3

MGMT - 2 parts? initially? cornerstone of trt?

Answer 3

medical and psychological
initially restore near normal body weight by refeeding

cornerstone of trt is family therapy

Question 4

MGMT - what physical complx may occur?

Answer 4

may need admission for refeeding invasively with NG tube

-> need monitoring for refeeding syndrome

Question 5

MGMT - what else has been introduced?

Answer 5

individual psych trt, to help challenge cognitions that drive anorexia and acquire more constructive ways of confronting dev demands eg handling conflict, maintaining self esteem, personal autonomy and relationships