Eating d/o Flashcards

1
Q

Anorexia nervosa

A

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)
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2
Q

12 mo prevalence of AN and BN in girls

A
AN= 0.4%
BN= 1.5%
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3
Q

Binge

A

eating a lot in 2h and lack of control over what/how much you eat

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4
Q

BN

A
  • 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
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5
Q

BED

A
  • Weekly x 3 mo binges
  • rapid eating
  • uncomfortably full
  • lg amt when not hungry
  • eat alone bc embarasd
  • digusted/dp/guilt after
  • causes distress
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6
Q

BED risk factors?

A
  • industrialized
  • fam hx
  • F>M
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7
Q

Avoidant/restrictive food intake d/o risk factors

A
  • anxiety
  • ocd
  • autism
  • adhd
  • fam hx anxiety
  • mom w ED
  • hx GI probs
  • GERD/vomiting
  • prolonged NG as infant
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8
Q

Avoidant/restrictive food intake d/o

A

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
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9
Q

Pica

A

> 2 yo, repeatedly eats nonfood substances
1+ mo
Not d/t other d/o

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10
Q

Rumination

A

Soothing regurgitation of food

  • may re-chew, swallow, or spit out
  • 1+ mo
  • not d/t medical condition
  • no associated bad sx
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11
Q

AN or BN - elevated cholesterol

A

AN

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12
Q

AN or BN - EKG abnormalites

A
BN = arrhytmias (electrolytes)
AN = low voltage
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13
Q

AN or BN - fatty liver

A

both

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14
Q

AN or BN - abd pain

A

AN: superior mesenteric artery syndrome, causes pain and vomiting

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15
Q

AN or BN - elevated amylase

A

BN

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16
Q

AN or AN - normal TSH, low T3, impaired TRH reponsiveness

A

both

17
Q

AN or BN - increased cortisol

A

AN

18
Q

AN or BN - increased growth hormone

A

AN

19
Q

BN renal abn

A
  • high bun
  • low K, Ca, Cl
  • alkalotic
20
Q

when to hospitalize

A

hypothermia, electrolyte abn, hypotension, severe starvation, severe wt loss, suicidal, psychosis, failed outpatient tx

21
Q

BN pharm

A

1st line fluoxetine
2nd TCA

not buproprion

22
Q

BED pharm

A

Vynase - red appetite, gives control

23
Q

Food restrictive tx

A

exposure therapy