Bullimia Nervosa Flashcards
Define Bullimia?
Binge eating with compensatory behaviours
What is the difference between bullimia and binge eating disorder?
Bullimia = with purging
Binge eating disorder = without purging
What are the features of the binge eating in bullimia?
Must be a loss of control in the eating
What types of purging behaviour is there?
Vomiting Diuretic abuse Thyroxine abuse Excessive exercise Laxatives
What are the MSK symptoms of bullimia?
Weakness
Fatigue
Muscle cramps
What is the biggest behavioural symptom of bullimia?
Impulsivity
What does impulsivity increase the risk of in bullimia?
Drugs and alcohol abuse
Why do bullimic people faint?
Hypoglycaemia
Hypotension
What are the signs of bullimia?
Pharyngeal
- Trauma
- Mallory-weiss
- GORD
Poor dentition
Russels sign
Mouth sores
Swollen parotid
Typical presentation?
” 30 y/o woman presents with marked weight fluctuations. She has lost 3kg over 3 days. Examination is normal apart from bilateral enlargement of the parotid gland. “
Investigations for BN?
SCOFF questionnaire
Bloods
- FBC
- U&Es
What test can be done in severe BN?
DEXA scan –> may show marked loss of bone density
1st line treatment for BN?
CBT
adjunct with SSRIs
What CBT is done in BN?
Group based
Who should be involved in BN care?
Dietician
