Bulemia Nervosa Flashcards
What are the diagnostic features of Bulimia Nervosa?
Episodes of binge eating with a sense of loss of control, binge eating followed by purging or nonpurging types, binges and compensatory behavior occurring at least once per week over a month, dissatisfaction with body shape and weight, marked distress with behaviors.
What are common signs of Bulimia Nervosa?
- Mouth sores
- Pharyngeal trauma
- Dental caries
- Heartburn, chest pain
- Esophageal rupture
- Impulsivity
- Muscle cramps
- Weakness
- Bloody diarrhoea
- Amenorrhoea or irregular periods
- Fainting
- Swollen parotid glands
- Hypotension
What is Refeeding Syndrome?
Refeeding Syndrome involves eating after a long period of fasting, leading to metabolic changes and electrolyte disturbances.
What are the potential electrolyte disturbances in Refeeding Syndrome?
- Thiamine
- Phosphate
- Potassium
What blood tests are important in the investigation of Bulimia Nervosa?
- Glucose
- U&Es
- Anaemia (iron and haemoglobin)
What is a common medical management for Bulimia Nervosa?
Fluoxetine 60 mg daily.
What therapies are included in the non-medical management of eating disorders?
- Specialised family work and social support
- CBT
- IPT
- Maudsley Model of Anorexia Nervosa (Mantra)
What medication can improve obsessive symptoms in Bulimia Nervosa?
Olanzapine.
Fill in the blank: Bulimia Nervosa episodes must occur at least once per week over a _______.
[month]
True or False: Heartburn and chest pain are signs of Bulimia Nervosa.
True
What are the components of managing Refeeding Syndrome?
- Thiamine and vitamin B complex
- Close monitoring of biochemistry (potassium, magnesium, phosphate)
