eating dis. Flashcards

1
Q

what is drunkorexics

A

don’t eat as many calroies as they plan to binge drink

- early cirrhosis

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2
Q

what is consequence of AN

A

death rate is 12 times higher

- 20% die

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3
Q

def AN

A
  • fear of weight gain
  • dist. in shape perception
  • BMI
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4
Q

Sx of AN

A
  • hypothermia
  • lanugo
  • brady card
  • edema
  • arrhytmias
  • osteoporosis
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5
Q

compensatory behavs beyond your normal

A
  • stims.
  • thyroid drugs
  • E drinks
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6
Q

signs

A
  • russells
  • dental abraison
  • partid gland enlarged
  • electrolyte changes
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7
Q

what is athletic triad

A
  1. AN
  2. ammen
  3. osterporosis
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8
Q

motivation in BN

A
  • desire to escape self-awareness

- narrowing of attention disengages normal inhibitions over eating

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9
Q

5 question screening for EDs

A
SCOFF
Sick because feel full
Contol - lost control over eating
Over - lost over 15lbs in 3 months
Fat - in mind
Food - dominate your life?
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10
Q

DDx in teens

A
  • Diabetes (0.2%)
  • Hyperthyroidism
  • Peptic Ulcer Disease
  • Pituitary Tumours
  • Inflammatory Bowel disease
  • Depression
  • Malignancy
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11
Q

what is stats to dieting

A

v. common

- more afraid of fat than other things

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12
Q

what is implication of dieting for ED

A

more likely to binge eat and to vomit

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13
Q

set point theory

A

we have set height and weight

weight is 50-70% heritable

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14
Q

3 key physio effects for starvation

A
  1. stomach shrinks
  2. slowed gastric emptying
  3. starvation edema
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15
Q

5 physio effects of starvation

A
  • Lanugo
  • Hypercarotenemia: deficiency Vit. A
  • Sleep disturbance: hunger/arousal
  • Increased Adrenalin levels
  • Dehydration
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16
Q

predisposing factors for ED

A
  1. peers
  2. genetic - moms and sisters
  3. bio - anxiety,OCD
  4. psychological - perf., self esteem
  5. cultural - use of food as reward/comfort
17
Q

what is media influence

A
  • kids watch lots of TV
  • female characters are underwiehgt
  • fiji study
  • proANA websites
18
Q

some common triggers

A
  • puberty
  • starting a new school,
  • beginning a new job,
  • breakup of an important relationship,
  • graduation.
  • death,
  • divorce,
  • marriage,
  • family problems
19
Q

5 keys to therapy

A
  1. est. therapeutic alliance
  2. weight restoration
  3. restore heathy eating habits
  4. work with family
  5. deal with emot. issues
20
Q

4 therapeutic maneouvers

A
  1. sep. illness from patient
  2. empower patient and fam.
  3. dev. consensus
  4. written plan
21
Q

poor prognostics

A
  1. denial
  2. recent weight loss of 1kg/week
  3. long duration
  4. emotional distress
  5. lack of fam. support
  6. cardiac arrhythmia
22
Q

7 red flags

A
  1. Medical instability: bradycardia 10mmHg
  2. Severe malnutrition
  3. Electrolyte problems
  4. Severe Depression
  5. Amenorrhoea
  6. LOC
  7. Temp
23
Q

what happens when college students give info after havoing had EDs

A

– Role models for the vulnerable
– Decreased stigma of Anorexia
– Glamorized Anorexia

24
Q

interventions that works (3)

A
  1. prevention focus
  2. involve significant adults
  3. change social envs.