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Exam - M - Psychiatry (Meg) > Eating disorders > Flashcards

Eating disorders Flashcards

1
Q

What is anorexia nervosa?

A

When a person feels overweight when they are a normal weight or are underweight.

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2
Q

What does a person with anorexia do?

A

Restricts calorie intake, exercises excessively, uses diet pills and laxatives.

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3
Q

What are the signs of anorexia nervosa?

A 
Amenorrhoea 
Lenugo (fine hair)
Hypokalaemia
Hypotension
Bradycardia 
Anxiety
Depression 
Low BMI
POOR INSIGHT 
Bloating
Nausea
Constipation
Early satiety
Easy bleeding
Easy bruising
Poor immune system
Hypercholesterolaemia
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4
Q

What are the cardiac complications of anorexia nervosa?

A 
Congestive heart failure (+oedema)
Arrhythmia (ventricular fibrillation)
Prolonged QT syndrome
Hypotension
Orthostatic hypotension 
Cardiac atrophy
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5
Q

What is the BMI in someone with anorexia nervosa?

A

<17.5

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6
Q

What is the criteria for anorexia?

A

BMI <17.5

Amenorrhoea NOT part of criteria anymore

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6
Q

What is the criteria for anorexia?

A

BMI <17.5

Amenorrhoea NOT part of criteria anymore

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7
Q

what age do people develop anorexia nervosa at?

A

75% of people develop it before the age 22yrs.

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8
Q

What is important about anorexia?

A

It has the highest death rate out of all psychiatric disorders

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9
Q

What happens to hormones in anorexia nervosa?

A

Low sex hormones
Raised cortisol
Raised growth hormone

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10
Q

What are the precipitating factors that cause anorexia nervosa?

A 
Puberty
Maternal encouragement for weight loss
Increased exercise
Dieting
Non deliberate weight loss
Stressful life events
previous psychiatric disorders
Sports people, dancer and models
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11
Q

What is the main difference between anorexia and bulimia?

A

The BMI (low in anorexia, normal or increased in bulimia)

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12
Q

What is done if someone has anorexia and depression?

A

Medical therapies for depression very rarely work when a person is underweight.

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13
Q

Which gender is more likely to get an eating disorder?

A

Female

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13
Q

Which gender is more likely to get an eating disorder?

A

Female

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14
Q

What is referring syndrome?

A

The shift of fluids and electrolytes when a person has been refed.
Hypokalaemia
Hypomagnesaemia
Hypophosphataemia

15
Q

How is referring syndrome controlled?

A

Regularly monitoring

Vitamin B and thiamine replacement

16
Q

What is the SCOFF questionnaire?

A

S - Sick (make yourself)
C- control (lost control)
O - One stone (over 3 months lost Weight)
F- Fat (when others think you’re too thin)
F - Food (dominate your life)

17
Q

What is bulimia nervosa?

A

When someone binge eats followed by purging or non purging

18
Q

What is the weight of someone with bulimia nervosa?

A

Normal weight or slightly overweight

19
Q

What is a BMI in bulimia nervosa?

A

> 17.5

20
Q

What are purging acts?

A

Laxiatives
Sickness
Diuretics

21
Q

What are non purging acts?

A

Exercise
Fasting
Strict diet

21
Q

What are non purging acts?

A

Exercise
Fasting
Strict diet

22
Q

What is the criteria for bulimia nervosa?

A

BMI >17.5

Episodes occur at least 2x per week for 3 months

23
Q

What is anorexia nervosa binge purge subtype?

A

When someone binges and then purges but has a BMI <17.5

24
Q

What are signs of bulimia?

A 
Swollen parotid glands
Alkalosis (HCl lost due to vomiting)
Hypokalaemia
Teeth erosion
Russells sign (buckle callouses)
Mouth ulcers
ORD
25
Q

What are complications of bulimia nervosa?

A

Diabetes mellitus
Mallory weiss tear
Alkalosis

26
Q

What is binge eating disorder?

A

When a person excessively overeats, usually due to psychological distress

27
Q

What is the weight of someone with binge eating disorder?

A

Most likely overweight

28
Q

What are the acts of binge eating disorder?

A

Eat very quickly, alone, eat loads - become uncomfortably full.
Silent high/buzz after eating followed by guilt and depression

29
Q

How is binge eating disorder managed?

A

Usually in the outpatient setting with CBT or group work

30
Q

What is cognitive remediation therapy?

A

Person is given a diagram and asked to copy it.

People with anorexia nervosa focus on a tiny part because they can’t see the bigger picture.

31
Q

What medication can be used in eating disorders?

A

SSRI

32
Q

What psychological treatment is used in eating disorders?

A

CBT
Self help
Counselling

Exam - M - Psychiatry (Meg) (24 decks)

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