Anorexia Flashcards
Anorexia population
12-30 yo F at onset
Forms of Anorexia Nervosa
Restrictive Type v. Binge Purging type
Anorexia Restrictive Type is
when during the last 3 mon the pt has not binged purge. Weight loss is accomplished by diet, fasting, or excessive exercise
Anorexia Binge Purge type is
when during the last 3 mon the pt has engaged in recurrent binge purging episodes (self induces vomiting, misuse of laxative, diuretics or enemas
Anorexia Binge episode is
uncontrolled, compulsive, rapid ingestion of large quantities of food in a very sytematic way
Anorexia Purging episode is
to rid the body of excessive calories by self induced vomiting, misuse laxatives, diuretics, enemas
Anorexia Nervosa Risk Factors
genetics, neuroendocrine d/o, neurochemical (depression), psychodynamic, family
Anorexia Nervosa physiologic factors
serotonin and dopamin are both down; brain with this d/o may not release blanced amounts of neurotransmitters
Anorexia Nervosa Clinical Manifestation
Emanciated, skeletal muscle atrophy, loss of adipose tissue, breast tissue atropy, hypothermic, lanugo peach fuzz d/t endocrine anomaly, thinning hair or alopecia, dry skin and brittle nails, decreased HR and low BP, constipation, joint swelling/edema
Anorexia Nervosa personality
compulsive exercise habits; over preoccupation with food calories; body dysmorphia; perfectionism and obsessive need to control
Anorexia Nervosa Treatment Goals
restore nutritional status; reasonable weight maintenance (gain and keep an ounce); reestablish normal eating behavior
Anorexia Nervosa Prognosis
this d/o comes and goes
Anorexia Nervosa Treatment in a Treatment Facility
psychotherapy; cognitive behavioral therapy; reasonable diet with or without liquid supplements; vitamin and mineral supplements; activity curtailment; SSRIs
Anorexia Nervosa Highlights
more common in teens; intense fear of obesity; feels fat when thin; avoids eating; refusal to maintain body weight; amenorrhea
