Clinical Approach to Eating Disorders and Refeeding syndrome

Question 1

Does BN or AN have a higher suicidality risk?

Answer 1

Bulemia Nervosa (7x)

Anorexia Nervosa (5x)

So if a patient comes in with depression and one of these eating disorders, treat the eating disorder becuase it can kill them.

Question 2

What is the DSM-5 Criteria for AN?

Answer 2

• restriction of energy intake for age, sex, and development
• intense fear of weight gain
• distorted perception of body image

Question 3

What are the two types of AN?

Answer 3

• Restricting Type (dieting, excercise, fasting, not eating)
• Binge eating / purging type (eating with self-induced vomiting, misuse of laxatives, diuretics, enemas, etc..)

Question 4

What are the main medical complications of AN that hill noted in class?

Answer 4

Cardiac: bradycardia, hypotension, QT dispersion, cardiac atrophy

Gynecology: amenorrhea (use to required for diagnoses in women).

Electrolyte: dehydration, hypokalemia, hypophosphatemia, and hypomagnesemia.

Question 5

What is the number one comorbid conditions associated with AN?

Answer 5

OCD

Question 6

What were the two main psychotherapies that Hill uses and recommends for AN?

Answer 6

CBT (cognitive-behavioral therapy) and Family therapy

Question 7

What medication is contraindicated for AN or BN patients? Why?

Answer 7

Buproprion - Seizures

Question 8

What SGA can actualy help with weight gain in patients who have eating disorders?

Answer 8

Olanzapine

Question 9

What medication has been shown to be efficatious in BED?

Answer 9

SSRIs