Eating disorder

Question 1

Features of anorexia nervosa?

Answer 1

Weight loss (at least 15% below normal or expected weight)

Avoidance of fatty foods

Self perception of being fat

Widespread endocrine disorder- Amenorrhoea in females, loss of sexual interest in males

Question 2

Effects of pre pubertal AN?

Answer 2

Puberty is delayed or arrested (breast do not develop, genitals remain juvenile)

On recovery puberty often completed normally, menarche late

Question 3

DSM V definition of AN?

Answer 3

Characterised by distorted body image and excessive dieting that leads to severe weight loss with pathological fear of becoming fat

Question 4

Features of bulimia nervosa?

Answer 4

Recurrent episodes of overeating

Preoccupation with eating

Counteracts fattening effects by purging, vomiting, or alternate methods

Self perception of being too fat

Question 5

Biological causes of eating disorder

Answer 5

Genetic
Puberty
Weight loss
Starvation effects

Question 6

Psychological causes?

Answer 6

Low self esteem
Perfectionism
Adolescence
Childhood abuse

Question 7

Social causes?

Answer 7

Western culture and expectations

School bullying

Question 8

Comorbidities of Eating disorder

Answer 8

Depression
OCD
Substance misuse
DM

Question 9

Effects of starvation on brain?

Answer 9

Loss of grey and white matter
Increased compulsive behaviour
Reduced social skills
Focus on food
Poor conc

Question 10

What is refeeding syndrome?

Answer 10

the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding

Hallmark biochemical abnormality is hypophosphateaemia