Eating Disorders Flashcards
What are the different types of Eating Disorders?
(1) Anorexia nervosa
(2) Bulimia nervosa
(3) Binge eating disorder
(4) Pica
(5) Rumination disorder
What are the questions you should ask a patient to differentiate between an eating disorder and other causes of weight loss?
1) Do you make yourself Sick because you feel uncomfortably full?
2) Do you worry you have lost Control over how much you eat?
3) Have you recently lost more than One stone (14 pounds) in a three month period?
4) Do you believe yourself to be Fat when others say you are thin?
5) Would you say that Food dominates your life?
SCOFF- Sick, Control, One stone, Fat, Food domination
Anorexia Nervosa shows deficits in ____________ function and ___________ function.
Dopaminergic function and Serotonergic function
A deficit in ____________ for a person with Anorexia Nervosa would impact their “Eating behavior, motivation and reward.”
Dopamine
A deficit in ____________ for a person with Anorexia Nervosa would impact their “Mood, impulse control, obsessive behavior.”
Serotonin
What is the Diagnostic Criteria (DSM V) for Anorexia Nervosa?
1) Restriction of energy intake (food) that LEADS TO LOW BODY WEIGHT. They have to have LOW BMI
2) Fear of gaining weight.
3) Behavior that prevents weight gain, even if underweight
4) Distorted perception of body
5) Denial of medical seriousness
What does Emaciation mean?
Being abnormally thin or weak
What are common physical findings for a person with Anorexia Nervosa?
1) BMI <17.5 **
2) Emaciation **
3) Hypothermia
4) Bradycardia ****
5) Hypotension **** (Hypotension and Bradycardia should not be together)
6) Hypoactive Bowel Sounds
7) Xerosis
8) Brittle hair / Hair loss *
9) Lanugo Body Hair (Peach fuzz)
10) Abdominal Distension
What does Xerosis mean?
Dry and scaly skin
What is defined as recurrent episodes of binging and purging and inappropriate compensatory behavior to prevent weight gain?
Bulimia nervosa
What is the diagnostic criteria for Bulimia Nervosa?
Recurrent episodes of binging and purging OR inappropriate compensatory behavior to prevent weight gain at least ONE time per WEEK for THREE MONTHS
What are examples of inappropriate compensatory behavior to prevent weight gain after a binging episode for Bulimia Nervosa?
VL-FEED (Very Large Feed??)
1) Self Induced VOMITING
2) Misuse of LAXATIVES
3) FASTING
4) ENEMAS
5) Excessive EXERCISE
6) DIURETIC use
What is a key difference in body weight when comparing Anorexia vs Bulimia?
Anorexia = Low BMI (<17.5)
Bulimia = Usually normal or above normal BMI
What medication is contraindicated for bulimia? (Not in TG but maybe important to know)
Wellbutrin (Bupropion)
Binge Eating Disorder is defined as episode of binge eating associated with what 4 other things?
1) Uncomfortably full
2) Eating when not hungry
3) Feelings of embarrassment
4) Feelings of disgust, depression
