eating disorder Flashcards

1
Q

Hallmarks of anorexia nervosa

A

BMI 1.5 or less
self-induced weight loss body image disturbance
fear of fatness
amenorrhoea

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2
Q

other questions important to ask in query anorexia nervosa

A
hair loss
lanugo hair 
cold, blue peripheries 
dry skin
bradycardia
bruising
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3
Q

test you might consider in someone with a query eating disorder

A

sit up stand up or squat test

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4
Q

what might you see on ecg with someone who has an eating disorder

A

prolonged QT and bradycardia

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5
Q

what might someones FBC look like with an eating disorder

A

high GGT and ALT due to the body beginning to digest the liver :(

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6
Q

their biochem might look like…

A

low Na

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7
Q

DXA will look like

A

osteopenis / osteoporosis

- advise them to avoid sports that are intense

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8
Q

What is refeeding syndrome

A

caused by drastic shift in electrolytes as the body quickly uses up new source to repair itself

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9
Q

what is important to look out for to indicate refeeding syndrome

A

hypophosphataemia

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10
Q

when is refeeding syndrome likely to occur following initial feed

A

4 days after - however use constant monitoring of bloods to try and avoid this

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11
Q

if a patient is really sick, what is the best initial management

A

marsipan

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12
Q

first line in patient who isnt that sick

A

CBT - psychological therapies

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13
Q

hallmarks of bulimia nervosa

A
persistent preoccupation with eating 
irresistible craving for food 
binges 
vomiting or laxative misuse
dread of fatness
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14
Q

Russells sign?

A

calluses on knuckles

seen in bulimia nervosa

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15
Q

Important aspects to physical assessment of someone with suspected bulimia nervosa

A

russells sign
parotid hypertrophy
dental caries
U+E

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16
Q

When carrying out a psychological Hx of someone with an eating disorder what conditions should you run through in relation to their red flags

A

depression
self-harm
substance misuse
impulsive personality

17
Q

Medical complications related to bulimia nervosa

A

HYPOKALAEMIA
Oesophageal reflux
oesophageal tears/ruptures

18
Q

Mx for bulimia nervosa

A

Guided self-help
CBT
SSRI for depression