Behavioural Problems Flashcards
What personality types are eating disorders more prevalent in?
Depressive
Anxious
Obsessive Compulsive
Low self esteem
What is anorexia nervosa?
Morbid fear of fatness and body image
Deliberate weight loss
Weight <17.5
Signs of anorexia
Lanugo hair Russel's sign Eroded tooth enamel Wasting Dry yellow skin Bradycardia Hypotension Anaemia Leukopaenia Hypokalaemia Alkalosis Parotid swelling
What investigations would you do in Anorexia?
BMI ECG FBC ESR U and E Glucose LFT TFT Cholesterol LH and FSH Oestrogen GH
What is the long term risk of anorexia nervosa?
Osteoporosis
What is the management of anorexia nervosa?
Family interventions
CBT
Counselling
Motivational counselling
When would you hospitalise an anorexic patient?
Suicide risk
BIM<13.5
Significant physical abnormalities
What are recovery rates for anorexia?
40% recover
20% chronic disorder
5% die
What is characterisitc of Bulimia?
Binge eating
Purging
Laxative Abuse
What happens to weight in bulimia?
Fluctuates
What is treatment for bulimia?
CBT
IPT
What is a poor prognostic factor in bulimia?
Low BMI
High purging frequency
What is cataplexy?
Sudden loss of muscle tone
When is the onset of narcolepsy?
20s
How do you diagnose narcolepsy?
Multiple sleep latency tests
How do you treat narcolepsy?
sedative
psychostimulant (amphetamine)
How do you treat cataplexy?
Tricyclic
What are causes of insomnia?
Psychological stress Hypothyroid stress Restless leg syndrome Menopause Heart failure Chronic pain Night shifts Heartburn
What is treatment of insomnia?
Sleep hygiene
lifestyle changes
CBD
medication not for more than 4 weeks
What happens in REM Sleep Behaviour Disorder
People act out their dreams (potentially dangerous)
What is used to reduce sexual desire in paedophiles?
Antiandrogens
What are the 3 Gs and 3 Cs that are raised in anorexia?
GH Glucose Salivery Gland Cortisol Cholesterol Caroteneamia (yellow skin)
