Eating Disorders Flashcards

1
Q

What is the history of eating disorders?

A
  • females used to fast to achieve purity
  • doctors use to prescribe self-starvations to avoid obesity
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2
Q

What is an eating disorder?

A

rumination disorder and avoidant/restrictive food intake disorder.
- anorexic, bulimic, obese

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3
Q

What is anorexia?

A

person eats too little (starves)

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4
Q

What is bulimic?

A

person eats chaotically

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5
Q

what is obese?

A

person eats too much

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6
Q

What are the tow neurotransmitters changes that causes eating disorders?

A

norepinephrine and serotonin

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7
Q

What is anorexia nervosa?

A

they do not lose their appetite they ignore their hunger and all physical weakness and fatigue
- unusual or ritualistic food behaviours
- intense fear of gaining weight or becoming fat

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8
Q

What are the two anorexia subtypes?

A
  1. restricting
  2. bing eating/purging
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9
Q

What is binge eating?

A

consuming large amounts of food within two hours or less

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10
Q

what is purging?

A

compensatory behaviours designed to eliminate food consumed by these means:
- vomitting
- misuse of laxatives, enemas, diuretics

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11
Q

What is the treatment for anorexia?

A
  • medical management(IV, tube feedings, monitor CV status, rehydration/ correction of electrolyte imbalances
  • psychotherapy
  • psychopharmacology
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12
Q

What are the types of medications used for anorexia and why?

A
  • amitriptyline and antihistamine cyproheptadine promote weight gain
  • olanzapine effects body image distortions
  • fluoxetine prevents relapse
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13
Q

What are non-pharmacology treatment for anorexia?

A

family therapy, individual therapy, CBT enhanced(talking),

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14
Q

What is bulimia nervosa?

A

binge eating frequently begins during or after dieting. may eat restrictively singing and purging episodes

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15
Q

What are some symptoms of bulimia?

A

weight may by normal or slightly above, tooth erosion, esophageal damage, other GI concerns, psychological issues

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16
Q

what is the treatment for bulimia?

A

cognitive behavioural therapy, identifying triggers,

17
Q

What is night eating syndrome?

A

morning anorexia and hyperphagia, nighttime awakenings, most are obese
- treatment with SSRIs with some success

18
Q

What are the two eating disorders in childhood?

A
  1. pica
  2. rumination
19
Q

What is pica?

A

persistent indigestion of non-food substances

20
Q

What is rumination?

A

repeated regurgitation of food that is then re-chewed, re-swallowed, or spat out

21
Q

What is orthorexia nervosa?

A

obsession with healthy eating

22
Q

What is comorbid disorder?

A

psychiatric disorders are common in ct with anorexia and bulimia