Eating d/o Flashcards
Anorexia nervosa
restricting that leads to LBW
fear of gaining
see yourself as fat or don’t recognize severity of thinness
- binging/restrictive (last 3 mo have you had recurrent binges)
12 mo prevalence of AN and BN in girls
AN= 0.4% BN= 1.5%
Binge
eating a lot in 2h and lack of control over what/how much you eat
BN
- recurrent binges
- compulsatory behavior to prevent wt gain (includes exercise)
- occurs weekly x 3 mo
- self-eval heavily influenced by shape/wt
- does NOT occur exclusively w/ episodes of AN
BED
- Weekly x 3 mo binges
- rapid eating
- uncomfortably full
- lg amt when not hungry
- eat alone bc embarasd
- digusted/dp/guilt after
- causes distress
BED risk factors?
- industrialized
- fam hx
- F>M
Avoidant/restrictive food intake d/o risk factors
- anxiety
- ocd
- autism
- adhd
- fam hx anxiety
- mom w ED
- hx GI probs
- GERD/vomiting
- prolonged NG as infant
Avoidant/restrictive food intake d/o
1 of the following
- wt loss/growth failure
- sig. nutritional def.
- need enteral feeding or oral nutrition supps
- marked inference w/ psychosocial functioning
- not lack of food
- not bc body shape
- not during illness
Pica
> 2 yo, repeatedly eats nonfood substances
1+ mo
Not d/t other d/o
Rumination
Soothing regurgitation of food
- may re-chew, swallow, or spit out
- 1+ mo
- not d/t medical condition
- no associated bad sx
AN or BN - elevated cholesterol
AN
AN or BN - EKG abnormalites
BN = arrhytmias (electrolytes) AN = low voltage
AN or BN - fatty liver
both
AN or BN - abd pain
AN: superior mesenteric artery syndrome, causes pain and vomiting
AN or BN - elevated amylase
BN
AN or AN - normal TSH, low T3, impaired TRH reponsiveness
both
AN or BN - increased cortisol
AN
AN or BN - increased growth hormone
AN
BN renal abn
- high bun
- low K, Ca, Cl
- alkalotic
when to hospitalize
hypothermia, electrolyte abn, hypotension, severe starvation, severe wt loss, suicidal, psychosis, failed outpatient tx
BN pharm
1st line fluoxetine
2nd TCA
not buproprion
BED pharm
Vynase - red appetite, gives control
Food restrictive tx
exposure therapy
