Bulimia Nervosa Flashcards

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1
Q

Diagnostic Criteria for BN? (4)

A

Preoccupation with eating and overeating
Binge eating
Purging, starving, self vomiting and other strategies
Morbid dread of fatness w/ imposed low weight threshold

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2
Q

Physical signs?

A
Arrhythmia 
Cardiac failure (sudden death)
Electrolyte disturbances 
Russel sign
Oesophageal erosion 
Oesophageal or gastric perforation
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3
Q

Investigations?

A

FBC, U&E’s, ESR, glucose, TFT’s, cholesterol (elevated due to starvation)
Endo - raised GH, low LH, oestrogen, progesterone

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4
Q

Management (psychological and biological)

A

Family CBT
Fluoxetine
TCA (increased weight gain)

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