Anorexia Nervosa Flashcards
Which behaviours can present in AN?
Restrictive - Reduced Calorific Intake
Purging - Taking steps to reduce absorption
What are the ICD-10 Criteria for AN?
Refusal to achieve/maintain ideal body weight
BMI <17.5
Intense fear of weight gain
Body shape disturbance
Undue influence of weight/shape on self evaluation
Amenorrhoea
What are some purging behaviours in AN?
Self-induced vomiting Laxatives Diuretics Slimming aids Fat blockers Amphetamine-Like drugs
What are some common patient rules in AN?
Eat less than others
Don’t eat if others don’t
Never eat in front of others
What are the general management steps in AN?
Psychoeducation
Monitoring of weight, mental and physical health
ED-CBT
What does ED-CBT involve in AN?
Nutrition Cognitive restructuring Mood regulation Social skills Body image Self-esteem Relapse Prevention
What are some Endocrine complications of AN?
Amenorrhoea
Sick Euthyroid
What are some CV complications of AN?
Bradycardia Hypotension Arrhythmia Cardiomyopathy HF Myelosuppression
What are some GI complications of AN?
Reduced Motility and Gastric Emptying Constipation Mallory-Weiss tears Hepatitis Pancreatitis
What are some Hepatic complications of AN?
Hepatitis
Liver Failure with refeeding syndrome
What are some common behaviours of Bulimia Nervosa?
Purging - Vomiting, Laxative abuse
Non-Purging - Exercise, Fasting
What are the ICD-10 criteria for Bulimia Nervosa?
Recurrent episodes of overeating
Persistent pre-occupation with eating and strong desire to eat
Compensatory behaviours for overeating
Self-perception of being too fat
How can Bulimia Nervosa be managed?
ED-CBT
Guided self-help
