EATING DISORDERS Flashcards
Bulimia
binge eating + purging + body image distortion
Bulimia: ways of purging
Inducing vomiting, laxatives, diuretics, exercise
Bulimia BMI
May be normal
Bulimia features
Dental erosion
[…] gland swelling
[…] sign (scarring on fingers from induced vomiting)
Parotid
Russell’s
Bulimia Mx
Referral for specialist care and CBT
Anorexia nervosa
- Sustained deliberate weight […]
- Fear of becoming […] as an intrusive […] idea
- Disregard for impact on their physical health
- May achieve weight loss by excessive exercise, food restriction, laxatives or diuretics
loss
fat, overvalued
Difference between bulimia and anorexia
Bulimia have normal weight or above
Anorexia clinical features
- Low BMI
- […]tension
- Bradycardia
- Enlarged […] glands
- […] hair (fine hair covering the skin)
- […]
Hypotension
salivary
Lanugo
Amenorrhoea
Anorexia biochemistry results include:
- […]kalaemia
- Low sex hormone levels (FSH, LH, oestrogen and testosterone)
- Raised […] hormone and […] levels
- Hypercholesterolaemia
Hypo
growth
cortisol
Anorexia mx
- […]-[…]
- Maudsley Anorexia Nervosa Treatment for Adults (MANTRA)
- specialist supportive clinical management (SSCM).
CBT-ED
What happens if patient is fed too quickly?
Refeeding syndrome
Reefeding syndrome
- Quick rise in […] shifts […], […] and […] […]cellularly
- CAN BE FATAL
Features
oedema, confusion and tachycardia
Treat with phosphate supplementation
insulin, potassium, magnesium, phosphate, intra
Anorexia monitoring
- electrolyte imbalances
- ECG may show prolonged […]
QT
