Eating disorder

Question 1

What are the clinical signs of anorexia?

Answer 1

dry skin, brittle hair, nails, hair fall out, constipation, hypothermia, decreased HR BP, BMI<16, Lanugo, loss of appetite, Russell’s signs, dental caries

Question 2

What are the complications for Anorexia?

Answer 2

Bradycardia, Hypotension, Orthostatic BP/HR, Arrhythmias, Peripheral neuropathy, Acrocyanosis, Leukopenia, Abnormal thyroid functioning, Osteoporosis, Electrolyte imbalance
Hypokalemic alkalosis

Question 3

What are the assessments for anorexia?

Answer 3

Binge-Purge type
mental staus
physiological parameters
Eating habits

Question 4

What are the criterias to be diagnosed with Anorexia?

Answer 4

1. Maintain body weight less than 85%of expected age, height
2. Extreme influence of body weight or shape on one’s self-perception
3. Denial of seriousness of current extremely low body weight
4. Absence of 3 consecutive menstrual cycles

Question 5

What are the physical criterias for admission?

Answer 5

Weight loss<85% below ideal
inability to gain weight w/ outpatient treatment
Temp <36C
HR<40bpm
Severe dehydration
Hypokalemia

Question 6

What are the Psychiatric criterias for admission for a Anorexic Patient?

Answer 6

Risk for suicide
Failure to comply w/ treatment contract
Severe depression or other psychiatric disorder that would require hospitalization
Family crisis or dysfunction

Question 7

What is Bulimia Nervosa?

Answer 7

repeating episodes of binge eating followed by compensatory behaviors such as:
Vomiting, Laxatives, Diuretics, Fasting, Excessive exercise

Question 8

What are the criterias to be diagnosed with Bulimia?

Answer 8

1. Evidence or recurrent episodes of binge eating occuring on the average of at least 2 times per wk over a period of 3months
2. Consumption of food in amounts greater in periods of time than others would consume in that specific period of time
3. Feelings of lack of control over eating over the binge period
4. Recurrent use of inappropriate measures to compensate for binge eating and prevent wt gain

Question 9

What are the complication of bulimia eating disorder?

Answer 9

Erosion of teeth, Cardia arrest, Electro imbalance, dehydration, Loss of dental arch, esophageal tears, severe gastro pain-gastric dilation

Question 10

What are the Bulimia assessments?

Answer 10

1. Medical stabilization

2. Psychiatric evaluation

Question 11

Describe a Binge Eating Disorder.

Answer 11

Repeated episodes of binge eating, after experience significant stress
Not use compensatory behaviors
may be associated w/ mood disorder
consider Bariatric surgeries