Eating Disorders Flashcards

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1
Q

Anorexia
- Criteria

A

Anorexia
- Criteria

  1. BMI <18.5
    - 5th centile as child
  2. Rapid weight loss
    - 20% in 6 mo
  3. Persistent pattern of behaviours
    - fasting/low calorie/slow eating
    - purging
    - expenditure (exercise/cold/medication)
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2
Q

AN
- Adult Management

A

AN
- Adult Management

  1. CBT ED
  2. MANTRA
    - Maudsley
  3. SSCM
    - Specialist supportive clinical management
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3
Q

AN
- Child Management

A

AN
- Child Management

  1. FT AN
    - Family Therapy
  2. CBT ED
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4
Q

AN
- Classifications

A

AN
- Classifications

  1. Restrictive pattern
  2. Binge purge pattern
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5
Q

Bulimia
- Definition

A

Bulimia
- Definition

  1. Frequent, recurrent episodes
    - once a week or more
    - a period of over 1 month
  2. Episodes include losing control
    - discrete periods of time
  3. Repeated compensatory behaviours
  4. Excessive preoccupation with weight or shape
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6
Q

Anorexia Vs Bulimia

A

Anorexia Vs Bulimia

  1. Anorexia
    - Low weight required
  2. Bulimia
    - Cyclical pattern
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7
Q

Bulimia
- Adult Mx

A

Bulimia
- Adult Mx

  1. BN focused guided self help
    - Trial for at least four weeks
  2. CBT ED
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8
Q

Bulimia
- Child mx

A

Bulimia
- Child mx

  1. FT-BN
    - family Therapy
  2. CBT ED
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9
Q

Binge eating disorder
- Definition

A

Binge eating disorder
- Definition

  1. Three month history of binge eating
    - discrete periods
    - loss of control
  2. NO compensatory mechanisms
    - overweight
  3. NOT accounted for anther medical condition
    - Prader Willi
    - Mood disorder
    - Effects of drugs
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10
Q

Binge eating disorder
- Mx

A

Binge eating disorder
- Mx

  1. Guided self help
  2. CBT ED
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11
Q

ED-NOS
- Criteria

A

ED-NOS
- Eating disorder not otherwise specified

  • Criteria
    1. No classifiable eating disorder
    2. Disordered eating
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12
Q

Eating disorders risks
- Cardiac
- GI
- Systemic
- Vomiting

A

Eating disorders risks

  • Cardiac
    1. Sinus bradycardia
    2. QT prolongation
    3. Pericardial effusion
    4. Valve prolapse (M, T)
  • GI
    1. Constipation
    2. Cathartic colon
    3. Oesophagitis
  • Systemic
    1. Hair loss
  • Vomiting
    1. Russell’s sign
    2. Mallory Weiss tear
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13
Q

ED
- Blood results

A

ED
- Blood results

  1. Cortisol high
  2. Cholesterol high
  3. GH high
  4. Hypo glycaemia
  5. Hypokalaemia
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14
Q

MEED
- Traffic lights

A

MEED
- Traffic lights

  1. Red
    - Fail SUSS
    - Acute food refusal
  2. Amber
    - Severe restriction
  3. Green
    - moderate restricting
  4. Blue
    - No weight loss
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15
Q

ED Screening
- SCOFF

A

ED Screening
- SCOFF

  1. Sick making
  2. Control loss
  3. One stone lossed
  4. Fat thoughts
  5. Food dominates life
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16
Q

ARFID
- Definition

A

ARFID
- Avoidant restrictive food intake disorder

  1. Lack of interest in food
    - sensory characteristics (eg. ASD)
    - fear of choking
  2. Significant functional impairment
    - aspect of life
  3. NOT motivated by body weight