Eating Disorders Flashcards
1
Q
What screening tool can be used for eating disorders?
A
Can pick up eating disorders using the SCOFF questionnaire
2
Q
Describe the SCOFF questionaire?
A
- If patient scores 2 or more then an eating disorder likely
- Do you make yourself Sick because you feel uncomfortable full
- Do you worry you have lost Control over how much you eat
- Have you recently lost more than One stone (14 pounds or 6.35kg) in a 3 months period
- Do you believe yourself to be Fat when others say you are too thin
- Would you say that Food dominates your life
3
Q
What are some examples of eating disorders?
A
- Anorexia nervosa
- Bulimia nervosa
- Binge eating disorder
4
Q
Anorexia nervosa - pathology
A
- Restriction of intake to reduce weight
5
Q
Anorexia nervosa - diagnosis
A
- Classified anorexia if he/she is 15% below ideal body weight/BMI 17.5
6
Q
Anorexia nervosa - clinical features?
A
- Fear of weight gain
- Absence of menstrual cycle or amenorrhoea in postmenarchal females for greater than 3 cycles
- Relies on compulsive compensatory behaviours when food cannot be avoided
- Self-induced vomiting, laxative abuse, excessive exercise, abuse of appetite suppressants, diuretics
- Signs of restricted calorie intake
- Cold intolerance
- Blue hands and feet
- Constipation
- Bloating
- Delayed puberty
- Primary or secondary amenorrhea
- Dry skin
- Fainting
- Hypotension
- Lanugo hair
- Scalp hair loss
- Early satiety
- Weakness, fatigue
- Short stature
- Osteopenia and osteoporosis
7
Q
What are signs of restriced calorie intake?
A
- Cold intolerance
- Blue hands and feet
- Constipation
- Bloating
- Delayed puberty
- Primary or secondary amenorrhea
- Dry skin
- Fainting
- Hypotension
- Lanugo hair
- Scalp hair loss
- Early satiety
- Weakness, fatigue
- Short stature
- Osteopenia and osteoporosis
8
Q
Bulimia nervosa - pathology
A
- Episodes of binge eating with a sense of loss of control
- Bing eating is followed by compensatory behaviour of the purging type
- Self-induced vomiting, laxative abuse, diuretic abuse o
- Or nonpurging type
- Excessive exercise, fasting or strict diets
9
Q
Bulimia nervosa - diagnosis
A
- Binges and the resulting compensatory behaviour must occur a minimum of 2x per week for 3 months
10
Q
Bulimia nervosa - clinical features
A
- Dissatisfaction with body shape and weight
- Mouth sores
- Pharyngeal trauma
- Dental caries
- Heartburn, chest pain
- Oesophageal rupture
- Impulsivity
- Stealing
- Alcohol abuse
- Drugs/tobacco
- Muscle cramps
- Weakness
- Bloody diarrhoea
- Irregular periods
- Fainting
- Swollen parotid glands
- Hypotension
11
Q
Binge eating disorder - pathology
A
- Similar to bulimia nervosa, with absence of purging behaviours
12
Q
Binge eating disorder - clinical features
A
- Ongoing and/or repetitive cycles often include
- Unusually fast eating, eating alone
- Unusually large amounts consumed
- Uncomfortably full
- Embarrassed, shame, guilt, depression
13
Q
What do you often see in avoidance of calorie intake?
A
- Diets, becoming vegetarian or vegan
- Not touching food or grease
- Developing dislikes, pickiness, even ‘allergies’
- Eating very slowly
- Interpreting all symptoms as allergy or indigestion
- Avoiding parties and social occasions
- Spoiling or messing of food, bizarre combinations
- Refusing to eat more than the person who eats least
- Medication abuse
- Appetite suppressants
14
Q
What are some methods used for getting rid of calories?
A
- Self-induced vomiting
- Chewing and spitting out
- Overexercise
- Over activity
- Obsessive housework, fidgeting, twitching, never sitting down, fetching one item at a time, carrying heavy loads
- Cooling
- Inadequate dress, open windows
- Blood letting
- Medication abuse
- Caffeine, laxatives, pain killers
15
Q
What medications can be abused to get rid of calories?
A
- Medication abuse
- Caffeine, laxatives, pain killers
