Eating Disorders Flashcards
What is the least common eating disorder in general but most common in children?
Anorexia
What are the 2 subtypes of anorexia nervosa?
Restricting - v.low calorie intake + excessive exercise routine
Binge-purge - still low weight but regularly engaging in binge eating/purging
How is the binging and purging in bulimia different from that in anorexia?
Anorexia - only occurs during strict episodes
Bulimia - will occur at least once a week for 3 months and is more a cycle of behaviour of binging hugeee quantities of food due to a certain trigger (e.g. physical hunger)
Bingeing in Binge Eating Disorder (BED) leads to a purge in order to lose weight. T/F?
F - patients often binge to get comfort from some sort of emotional stress and then sit with the feelings of guilt as a sort of punishment
How regularly do bingeing episodes have to occur in bulimia and BED to get a diagnosis?
Once a week for 3 months
What does OSFED stand for?
Other specified feeding and eating disorder - doesn’t neatly fit criteria for other conditions
Makes up a large percentage of Eds
What is ARFID?
Avoidant restrictive food intake disorder
Where a patient limits food to small amounts or avoids certain food groups/types but not in order to control body image
Why may someone develop ARFID
- dislike to certain foods texture etc.
- bad experience e.g. choking etc.
- disinterest in food
link to ADHD and autism
T/F? Anorexia has the 2nd highest mortality rate of any mental illness.
F - it’s number 1 (4/5 due to physical illness 1/5 - suicide)
How does starvation and stress have an effect on your rational and regulation of thoughts and behaviour?
The forebrain is the area responsible for this kind of thinking and is unfortunately most affected by stress and starvation
In people w/o an ED we get pleasure hormones when we eat when we are hungry. How does this differ in people with anorexia?
They are calmer and have more pleasure the longer they don’t eat - it’s reversed
Is there any conclusive drug management for Eds?
No - only sometimes SSRIs and anti-pyschotics in anorexia
What is the name of the monitoring chart for anorexic patients?
MARSIPAN
With anorexia patients they are first tried on food if that isn’t tolerated what are the following 2 steps to get calorie and nutritional intake?
Oral supplement
Nasogastric feeding
Patients with bulimia and BED are rarely admitted, what is the main stay of treatment for them?
CBT and guided self help
What is the name of the fine hair that can appear on anorexic patients?
Lanugo hair
What is Russell’s sign?
Calluses on the knuckles caused by grazing them on the teeth when inducing vomitting
How can a patients face appear in bulimia and what is their ABG likely to be?
Swollen glands below jaw
Alkalosis due to constant vomiting of HCl
What is referring syndrome?
What electrolyte imbalance (3) can take place as a result?
When a patient has experienced a period of starvation or incredibly underweight and they start eating again
The body is not used to processing and insulin increases
Leads to:
- low K+
- low P
- low Mg
Needs to be very carefully monitored to make sure doesn’t impact patient
