Eating Disorder Flashcards
DSM-5 Criteria
Restriction of energy intake relative to requirements
Fear of weight gain
Severe body image disturbance
What does restriction of energy intake relative to requirements lead to in anorexia?
Significantly low body weight in the context of age, sex, developmental trajectory, and physical health
Subtypes of Anorexia Nervosa
Restricting
Binge eating/purging
Signs/Symptoms of Anorexia
Dry skin Cold intolerance Blue hands & feet Constipation Bloating delayed puberty Primary or secondary amenorrhea Fainting Orthostatic hypotension Lanugo hair Scalp hair loss Early satiety Weakness, fatigue Short stature Osteopenia Breast atrophy Atrphic vaginitis Pitting edema Cardiac murmurs Sinus bradycardia Hypothermia
DSM-5 Criteria for Bulimia: 3 of the following 5 Criteria
Eating much more rapidly than normal
Eating until uncomfortably full
Eating large amounts of food when not feeling physically hungry
Eating alone because of embarrassment
Feeling disgusted, depressed, or very guilty over overating
Signs/Symptoms of Bulimia
Mouth sores Pharyngeal trauma Dental caries Heartburn, chest pain Esophageal rupture Impulsivity: stealing, ETOH abuse, drug/tobacco Muscle cramps Weakness Bloody diarrhea Bleeding or easy bruising Irregular periods Fainting Swollen parotid glands Hypotension Russell's sign
Define Russell’s Sign
Calluses on the back of their knuckles/hands from self induced vomiting
Define Binge Eating
Eating in a discrete period of time an amount of food that is larger than most people would eat in a similar period
DSM-5 Criteria for Eating Disorder, Not Otherwise Specified
Anorexia with regular menses
Anorexia except weight still in normal range
Bulimia except
Types of Inappropriate Compensatory Behavior
Self-induced vomiting
Misuse of laxatives, diuretics, or other meds
Fasting
Excessive exercise
Associated Psychiatric Conditions with Eating Disorders
Anxiety disorders
OCD
Personality disorders
Substance abuse
Pathogenesis of Eating Disorders
Combination of psychological, biological, family, genetic, environmental, and social factors
Screening Tools for Eating Disorders
SCOFF Questionaire
ESP
SCOFF Questionnaire
S: sick feel uncomfortably full C: control (loss) over how much you eat O: one stone (14 pounds) F: fat when others think think F: food dominates life
Important History for Eating Disorders
Maximum heigh/weight Exercise habits: intensity, hours/week Stress levels Habits & behaviors: smoking, ETOH, drugs, sexual activity Eating attitudes & behaviors ROS
