Eating D/o Flashcards
How many eating d/o can a person have at once?
Only one, the criteria are such that they are mutually exclusive diagnosis
- except pica
What is pica?
Any eating of nonnutritive, nonfood substances x 1 month
What if the person have ASD or some other diagnosis and they are eating dirt?
Still pica, can be part of another disease
What causes pica?
We dont know, usually no nutritional deficiencies are found
What is avoidant/restrictive food intake d/o?
A lack of eating due to
- lack of interest (sensory changes)
- concern about consequences of eating
Leads to persistent failure to meet nutritional and or energy needs
What makes avoidant food intake d/o different for anorexia or bulimia?
Its not about body fat perception
- even infants can have this
What is bulimia nervosa?
Binge eating followed by purging
- they loose control over eating during the episodes
How long just bulimia nervosa go on?
At least 1 week x 3 months
Severity of bulimia nervosa?
Mild - 1-3 episodes per week
Moderate - 4-7 episodes per week
Severe - 8-13 episodes per week
Extreme - 14 episodes per week
How do bulimia pts look?
They are usually weight normal or overweight
What is anorexia?
Restriction of energy intake - significantly low body weight
Anorexics are a little neurotic about?
Gaining weight (intense fear of wt gain)
- its a disturbance in the way in which on’e s body weight or shape is experienced
Subtypes of anorexia?
Restricting type - wt loss through fasting/exercise
Binge eating/purging type - vomiting, laxatives, diuretics or enemas
Severity of anorexia?
Mild - BMP > 17kg/m
Moderate - BMP 16-16.999 kg/m
Severe - BMI 15-15.99 kg/m
Extreme - BMI <15 kg/m
Big difference between anorexics and bulimics?
Anorexics loose weight
Bulimics stay fat
What is binge eating disorder?
Recurrent episodes of binge eating
- lack of contro;
Binge eating criteria?
3 or more of
- eating rapidly
- eating until uncomfortably full
- eating large amounts (even when not hungry)
- eating alone (embarrassed)
- feeling disgusted, guilty, or depressed
Marked distress regarding binge eating
Severity of binge eating?
Mild - 1-3/week
Moderate - 4-7/week
Severe - 8-13/week
Extreme - 14+/week
Contrast binge-eating and bulimia?
With binge eating Pts arent purging
When do neurodevelopment d/o manifest?
Early - before school
- impair personal, social, academic or occupational functining
What are intellectual disability (intellectual development d.o)?
Deficits in general mental abilities
- reasoning
- problem solving
- planning
- abstract thinking
- judgment
- academic learning
- learning from experience
- adaptive functioning (cant function normally)
What is global developmental delay?
Not meeting milestones in several areas of function
- unable to understand the testing
- under 5
What does global developmental delay become when they are over 5 y/o?
Unspecified intellectual disability
What are included in communication d/o?
Language disorder - acquisition and use Speech sound d/o - cant produce sound Social (pragmatic) communication - social use of verbal/nonverbal Child onset fluency (stuttering) - disturbance in normal fluency at time of patterning of speech Unspecified - doesn’t meet other criteria
General considerations for ASD?
- Persistent issues w social communicaiton and interaction
- repetitive behaviors, interests, or activities
- interfere w functioning
- may or may not have language probs
Clinical findings for ASD?
Neurodevelopmental d/o w pervasive difficulties w social communicationa nd repetitive restricted interest and behaviors
- sterotyped or repetitive motor movements
- insistence on sameness - inflexible
- highly restricted, fixed interests
- hyper/hypo reactivity to sensory input
How is severity of ASD defined?
Based on social communication and repetitive patterns of behavior
General considerations of ADD/ADHD?
Persistent patterns of inabilitity to sustain attention, excessive motor activity/restlessness/impulsivity or both
Interferes w daily functioning
Symptoms before age 12
Clinical findings for ADD/ADHD?
Inattention Restlessness Impulsivity Easily distracted, sidetracted Cant keep deadlines Forgetful
How many hyperactive symptoms are needed for it to be ADHD?
Minium 5 symptoms to qualify as hyperactivity
Tx for add/adhd?
Pahrm
- methylphenidate
Amphetamine
- bupropion
Behavioral
- psychoeducation
What are specific learning d/o
Difficulty in abilit to perceive or process info efficientyl or accurately
- foundation skills (3 r’s)
- performance below peers
Describe motor disorders?
Coordination/motor is well below peers
- clumsiness, slowness, inaccuracy
- causes interference in life
- onset early in life
