Disorders of Appetite Flashcards

1
Q

define polydipsia

A

excessive thirst or excess drinking

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2
Q

define adipsia

A
  • inappropriate lack of thirst

- with consequent failure to drink in order to correct hyperosmolality

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3
Q

define anorexia

A

lack or loss of appetite for food

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4
Q

define obesity

A

abnormal or excessive fat accumulation that presents a risk to health

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5
Q

polydipsic and adipsic disorders can be divided into?

A

primary

secondary

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6
Q

is primary or secondary polydipsia more common?

A

secondary

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7
Q

what can cause secondary polydipsia?

A

Medical issues that disrupt any step in osmoregulation or alter ADH

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8
Q

where is ADH stored?

A

posterior pituitary

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9
Q

causes of secondary polydipsia - chronic medical conditions

A
Diabetes insipidus & mellitus
Kidney failure
Conn’s syndrome
Addison's disease
Sickle cell anaemia
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10
Q

causes of secondary polydipsia - medications

A

Diuretics
Laxatives (Both result in dehydration)
Antidepressants

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11
Q

causes of secondary polydipsia - dehydration

A
Acute illness
Sweating
Fevers 
Vomiting 
Diarrhoea
Underhydration
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12
Q

treatment of diabetes insipidus

A

desmopressin

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13
Q

common symptoms of diabetes

A
always tired
frequent urination
sudden weight loss
poor wound healing
sexual problems
always hungry
blurry vision
numb or tingling feet
always thirsty
vaginal infections
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14
Q

causes of primary polydipsia

A

mental illness: psychogenic polydipsia, schizophrenia, depression, anxiety, anorexia, drug use
brain injuries
organic brain damage

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15
Q

why is polydipsia a problem?

A
Kidney and bone  damage
Headache
Nausea
Cramps
Slow reflexes
Slurred speech
Low energy
Confusion
Seizures
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16
Q

list types of adipsia

A

A - most common
B
C
D

17
Q

outline adipsia

A

^osmolality of urine > stimulates secretion of ADH > water retention > sensation of thirst decreases

18
Q

recall the model by which osmoreceptors shrink in response to more concentrated plasma

A

push-activation model

19
Q

eating disorders include?

A
binge eating disorder
anorexia nervosa
bulimia nervosa
pica
rumination syndrome
avoidant/restrictive food intake disorder
20
Q

signs of anorexia

A

Low BMI, continuous weight loss, amenorrhea, halitosis, mood swings, dry hair, skin & hair thinning

21
Q

mechanism of anorexia

A

serotonin

22
Q

what is measured when screening for obesity?

A

height
weight
abdominal girth

23
Q

main physiological actions of GLP1 and GLP2

A

Stimulate insulin release

Inhibit glucagon release

24
Q

PYY is important for?

A

satiety

25
Q

hormonal changes after bariatric surgery

A

reduction in ghrelin

GLP1/2, PYY elevated