Eating And Feeding Disorders Flashcards
Which term describes small appetite but eats normal range of food in small amounts?
Restrictive eating
Which term describes avoidance of certain foods due to fear of choking or vomiting?
Functional dysphagia
Which term describes refusal of food, drink, talk, walk and engagment in any form of self care ?
Pervasive refusal syndrome
Which term describes the lack of interest in eating or food and avoidance because of color smell, texture etc?
Avoidant/restrictive food intake disorder
Name 5 red flags for eating disorders
• menstrual irregularities • fertility problems • unexplained seizures • chronic fatigue • Callouses on hands Loss dental enamel
Criteria a of binge eating disorder? ( binge episode) (2)
Both:
- Eating in discrete period of time an amount of food that is larger than most people would eat in similar period under similar circumstances
- Sense of lack of control over eating during episode
Criteria B of binge eating disorder? ( binge episode associations) (5)
3 or more :
- Eat more rapid than normal
- Until feel uncomfortably full
- Eat large amounts when not feeling physically hungry
- Eat alone from embarassment by how much eat
- Feel disgusted with self, depressed or very guilty after
Criteria D of binge eating disorder? ( binge episode frequency )
At least once per week for 3 months
Criteria B of bulimia nervosa? ( behaviours )
Recurrent inappropriate compensatory behaviours in order to prevent weight gain eg self-induced vomiting, misuse laxatives, diuretics, fasting, excessive exercise etc
Criteria c of bulimia nervosa? ( frequency )
Binge eating and inappropriate compensatory behaviours both occur at least once a week for 3 months
Criteria D of bulimia nervosa? ( self evaluation )
Self-evaluation unduly influenced by body shape and weight.
Weight of bulimic patients in general?
Normal - bmi > 18,5
Classify the severity of bulimia (4)
- mild - 1-3 compensatory behaviours per week
- moderate: 4-7
- severe: 8-13
- extreme : 14 or more
Name 3 associated examination signs with bulimia nervosa
- Parotitis and tooth decay-excessive vomit
- Russel sign on hand from self-induced vomiting (knuckles)
- Hypochloraemic hypokalaemic metabolic contraction alkalosis
Criteria A of anorexia nervosa? ( core )
Restriction energy intake relative to requirements, leading to significantly low body weight (<18,5) in context of age, sex, developmental trajectory, physical health
Criteria B of anorexia nervosa? ( attitude to weight )
Intense fear of gaining weight or becoming fat or persistent behaviour that interferes with weight gain, even though at a significantly low weight
Criteria c of anorexia nervosa? ( image )
Disturbance in way one’s body weight or shape experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of seriousness of current low body weight
Classify severities of anorexia nervosa (4)
- Mild: bmi 17 or more
- moderate: 16-16,99
- severe: 15-15,99
- extreme: below 15
Name 6 associated symptoms of anorexia nervosa
- Osteoporosis
- amenorrhoea
- refeeding syndrome- decreased k ( u wave ecg), mg (muscle spasm, fatigue, paraesthesias, nystagmus, tremor), p (seizure, mi)
- hypothermia
- laguna and oedema
- Leukopenia
Name 8 features of refeeding syndrome
(Treatment of anorexia gone wrong) • hypophosphataemia • hypo mg • Hypo k • Gastric dilatation • congestive heart failure • severe oedema • confusion • coma and death
Which term describes the persistent eating of non-nutritive, non-food substances for more than a month?
Pica
Which disorder is described by repeated regurg of food over 1 month?
Rumination disorder
Name 4 specifiers anorexia nervosa not relating to severity
- restricting type (in last 3 months)
- binge-eating /purging type
- In partial remission: criteria A (weight) has not been met in a while, but B (fear of gain) or C (disturbances in self perception) still met
- In full remission
Time period pica
At least 1 month
