Anorexia Nervosa Flashcards
1
Q
criteria
A
BMI of 17.5 or less self-induced weight loss e.g. strict diet, vomiting, excessive exercise and medication body image disturbance fear of fatness amenorrhoea
2
Q
presentation of anorexia
A
muscle wasting hair loss lanugo hair cold peripheries dry skin hypercarotenaemia (excessive ingestion of veg) bradycardia hypotension prolonged QT unable to rise from squat bruising
3
Q
management of anorexia
A
BEWARE of refeeding syndrome
CBT
dietician
4
Q
how to avoid refeeding syndrome
A
slow pace of initial feeding and frequent blood monitoring
MARSIPAN guidelines
5
Q
what is refeeding syndrome?
A
after prolonged malnutrition all stores are replenished but used up too quickly leading to hypo deficiencies of everything
