Eating Disorders Flashcards
What are the three eating disorders?
Anorexia nervosa
Bulimia nervosa
Binge eating disorder
What patients suffer from a disturbance of body image, and use extensive measures to avoid gaining weight?
Anorexia
Bulimia
What are the extensive measures taken by patience with bulimia and anorexia?
Use of laxatives and enemas
Fasting in excess of exercise
Binge eating disorder
Typically binge in response to negative emotions
Main DSM requirement for Anorexia nervosa
Restriction of caloric intake, leading to significant low body weight
Anorexia nervosa is associated with what type of traits?
Obsessive compulsive
What are the two types of anorexia nervosa?
Restrictive type
Binging and purging type
Restrictive anorexia nervosa
achieve weight loss through diet, fasting, or excessive exercise
Binging/purging type AN
Follows binges with vomiting, and use of laxatives, enemas, or diuretics
Physical manifestations of a AN
A menorrhea
Hypotension
Arrhythmias
Alopecia
Cold intolerance with hypothermia
Bradycardia
Lanugo - small, soft baby like hair
Constipation
Hypothyroidism
Lab abnormalities with AN
Hyponatremia
Arrhythmias with QT prolongation
Leukopenia and anemia
Elevated liver enzymes
Hypothyroidism
Hypoglyc
Med. Complications related to weight loss, and purging
Hypocaloremic hypokalemia alkalosis -with vomiting
Treatment of anorexia nervosa
CBT
family therapy with supervised weight gain programs
Reseeding
Are SSRIs helpful with anorexia nervosa?
No
Bulimia nervosa is characterized by
Binge eating combined with behaviors intended to counteract weight gain
vomiting
Use of laxatives
Enemas
Diuretics
What does binge eating?
Excessive food intake within a two hour period accompanied with a lack of self-control
Unlikely anorexia nervosa bulimia patients appear how?
Maintain normal width or are overweight
DSM criteria for bulimia nervosa
Recurrent episodes of binge eating with inappropriate attempts to compensate
Physical manifestations of bulimia nervosa
Sialadenitis
Dental erosions
Calluses in abrasions on dorsal surface of hand
Petechiae
Peripheral edema
First line Treatment for bulimia nervosa
SSRIs
Fluoxetine specifically
What SSRI do we avoid in bulimia nervosa?
Bupropion, because it lower seizure threshold
Key distinguishing feature in anorexia nervosa
Abnormally, low weight
BMI less than 18.5.
Appearance of bulimia, nervosa, patience
Maintain body weight or above minimally normal level
Anatomic and Physiologic sequelae of severe weight loss that occur in anorexia nervosa is not seen in bulimia
Binge eating disorder
Recurrent episodes of eating, excessive quantities of food, not followed by unhealthy compensation’s
Compared to patients with anorexia nervosa or bulimia nervosa patients with binge eating disorder appear how?
Overweight/obese
Patience, avenge, eating disorder often suffered from what medical problems?
Cardiovascular disease
Type two diabetes
Metabolic syndrome
Treatment of binge eating disorder
CBT or interpersonal psychotherapy with strict diet and exercise regimen
