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Year 2 > eating disorder > Flashcards

eating disorder Flashcards

1
Q

Name the 3 board eating disorders you are most likely to see clinically

A
  1. Anorexia nervosa
  2. Bulimia nervosa
  3. Binge eating disorder
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2
Q

What are the 2 min reasons eating disorders lnk to dentistry

A
  1. Directly affects oral health

2. Affects clinicians diagnosis and can affect early detection and assistence

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3
Q

How can eating disorders affect a persons oral health

A
  1. Dental effects such as caries, erosion hypersensitivity
  2. Effects on bone like osteoporosis and later periodontal disease
  3. Can lead to oral mucosa and salicary changes
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4
Q

Give some diagnostic features of anorexia nervosa

A
  1. Active maintence of low body weight (BMI of <17)
  2. Extreme shape and weight concern
  3. Amenorrhea (women only)
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5
Q

How can BMI be used to detect anorexia nervosa?

A

Mild anorexia= > or = 17
Moderate= 16-16.99
severe = 15-15.99
extreme= < 15

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6
Q

What is the prevelemce of anorexia nervosa?

A

0.5% girls ages 15-18

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7
Q

What is the sex ratio for anorexia nervosa?

A

95% cases in females

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8
Q

What is the avreage age of onset for anorexia nervosa?

A

Peaks at 15 and 18

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9
Q

How can anorexia nervosa iaffect the body?

A

Severe physiological and psychological effect on all the organ systems due to starvation

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10
Q

What are some of the behavioural signs of anorexia nervosa?

finish this slide

A
  1. Avoiding food they feel is fattening
  2. Hiding food
  3. Finding it difficult to think about anything other than food
  4. Missing meals
  5. Eating only low calorie
    food
  6. strict dieting
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11
Q

Slide 6

A

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12
Q

slide 6

A

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13
Q

slide 6

A

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14
Q

What are some physical signs of anorexia nervosa?

A
  1. Difficulty sleeping and tiredness
  2. Feeling dizzy
  3. Being irritable and moody
  4. Difficulty concentrating
  5. Low BP
  6. Severe weight loss
  7. Irregular periods
  8. Hair fall
  9. Swelling in their feel, hands or face
  10. Weaknesses of muscle strength
  11. Feeling cold/ having low body weight
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15
Q

What are the diagnostic features of bulimia nervosa?

A
  1. Recurrent binge eating (feelings of loss of control)
  2. Compensatory behaviour
    3 Extreme shape and weight concern
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16
Q

What is the prevalence of bulimia nervosa?

A

1-3 % Girls ages 18-25

17
Q

What is the sex ratio of bulimia nervosa

A

95% cases in females

18
Q

What is the age of onset of bulimia nervosa?

A

Late adolescence

Young adult

19
Q

What impairments can bulimia nervosa have on the body?

A

Complications of purging

Severe psychological effects

20
Q

Give some behavioral signs of bulimia nervosa

A
  1. Bingeing
  2. Secretive bulimic episodes (disappearing after eating)
  3. Feelings of guilt and shame
  4. Mood swings
  5. Distorted perception of body weight or shape
  6. Preoccupied wuth thoughts of food and life is organised around shopping and eating
  7. Feelings of loss of control leading to over eating
21
Q

Give some physical signs of bulimia nervosa

A
  1. Vomiting
  2. Excessive exercising
    3 Fatigue and lethargy
  3. Stomach pain
    5 Constipation
    6 Felling bloated
    7 Gastric problems
  4. Irregular periods
    9 Enlarged salivary glands
  5. Electrolyte abnormalities
22
Q

Give some diagnostic features of binge eating disorder

A
  1. Recurrent binge eating
  2. Features of binge episodes
  3. Marked distress regarding binge eating
  4. No compensatory behaviour
23
Q

What do eating disorders hav in common?

A
  1. Behaviour is centres around food
  2. Core beliefs and associated concerns are similar
    3 Levels of distress associated with all 3
24
Q

WHat can make a young person more likely to develop an eating disorder

A
  1. Mental health problems
  2. Family history
  3. Perfectionism
  4. History of significant dieting
  5. Being part of a sport/ activity where there is an emphasis of appearance
25
Q

Give some body dissatisfaction risk factors that can lead to eating disorders

A
  1. Having a negative body image
  2. Weight preoccupation
  3. Dieting
26
Q

Give some self regulatory risk factors

A
  1. Low self esteem
  2. Affective dysregulation
  3. Insecure attachment
27
Q

Why do adolescence have a higher risk of developing an eating disorder

A
  1. Identity bound to external appearance
  2. High levels of shape wight concern
  3. Acted out though food eg skipping meals dieting vegetarianism
  4. Refusing parental control
  5. Conforming to socially normative dieting
28
Q

How can eating be linked to emotions

A
  1. Stopping eating when external events feel outside your personal control
  2. Can stop eating to influence others
  3. Binge eating and purging to regulate negative emotional states
29
Q

Who makes up the specialist eating disorder team?

A 
CAMHS Practitioners
Dietitian
Family Therapists
Nurses
Pediatricians 
Psychiatrists
Psychologists
30
Q

What are the 3 steps we take to treat eating disorders

A
  1. Weight managements
  2. psychological therapies
  3. Relapse prevention
31
Q

What is the course of disordered eating?

A
  1. Single short crisis where recovery is more likely

2. Chronic intractable disorder

32
Q

What is the dentists responsibility when communicating about eating disorders

A
  1. Slowly tell the patient about oral changes

2. Be aware of community resources for refferal if patient admits to n eating disorder

33
Q

What is the dentists responsibility when treating a patient with an eating disorders?

A
  1. Monitor dental erosion and mucosal lesions
  2. Minimise use of abrasive material sin treatment
  3. Advice patient not to brush teeth with toothpaste after binging
  4. Use sugarless gum to promote salivary flow

Year 2 (20 decks)

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