Eating Disorders Flashcards

1
Q

what are the different types of eating disorders

A

axorexia nervosa
bulimia nervosa
binge eating disorder

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2
Q

what is the relevance of eating disorders in comparison to dentistry

A
oral health- dental defects 
erosion, caries, hypersensitivity 
effets on bone 
oesteoprosis and later perio disease 
oral mucosa and salivary changes 
early detection and assistance 
secondary prevention opportunity
practical advice for dental health
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3
Q

what are the diagnostic features of anorexia

A

active maintenance of low body weight (<85% of expected wt or BMI=or<17)
extreme shape & weight concern
amenorrhea (women only)

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4
Q

what are the types of anorexia nervosa

A

restriction, binge purging

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5
Q

what organs are affected in anorexia nervosa

A

severe physiological and psychological effectsall organ systems - starvation

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6
Q

WHAT IS THE AGE OF ONSET OF ANOREXIA

A

PEAKTS AT 15 & 18

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7
Q

what are the behavioural signs of anorexia

A
setting high standards and being a perfectionist
Depression &amp; anxiety symptoms
social withdrawal 
excessive exercising
counting calories 
may lie about what they've eaten 
cutting food into tiny pieces 
strict dieting 
avoid fattening foods 
eating low calorie 
missing meals 
vomiting or misusing laxatives 
fear
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8
Q

what are the physical signs of anorexia

A
severe weight loss 
find difficulty sleeping or tiredness 
feeling dizzy 
getting irratable and moody 
difficulty concentrating 
stomach pains 
constipation and bloating 
feeling cold or having shaking hands 
weakness 
swelling 
growth of hair on the body 
hair falls out 
amenorrhea
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9
Q

what are the diagnostic features of bulimia nervosa

A

recurrent binge eating- large amounts quickly, loss of control
compensatory behaviour
vomiting, laxatives, fasting, exercise
extreme shape and weight concern

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10
Q

what is the binge frequency in bulimia

A

1-3 episodes a week

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11
Q

what is the data of bulimia nervosa

A

95% female

late, adolescent onset

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12
Q

what is the prevalence of bulimia nervosa

A

1-3% girls aged 18-25

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13
Q

what is the impairment of having bulimia

A

complications of purging

severe psychological defects

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14
Q

what are the behavioural signs of bulimia nervosa

A

binging
disappearing after eating
preoccupied with thoughts of food and life may be organised around shopping, eating,purging
distorted perception of body
associated with depression, low self esteem and misuse of alcohol
secretive
feeling a loss of self control after over eating
feeling guilt
mood swings

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15
Q

what are the physical signs of bulimia

A
excessive exercising
fatigue 
stomach pain 
constipation 
feeling bloated 
GI issues 
amenorrhea 
regular changes in weight 
vomiting
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16
Q

what are the diagnostic feats of binge eating disorder

A
recurrent binge eating
large amounts quickly, loss of control
features of binge episodes (to distinguish from overeating)
marked distress regarding binge eating
no compensatory behaviour
17
Q

what is eating disorder NOS

A

anorexia nervosa- above 85\5 body weight

bulimia nervosa- less frequent binge episodes

18
Q

what does NOS stand for

A

not otherwise specified

19
Q

what do eating disorders have in common

A

behaviour around food
core beliefs and associated concerns
levels of distress

20
Q

what makes a young person more likely to develop eating disorder

A

perfection
history of significant dieting
family history
mental health problem

21
Q

why does adolescence affect girls

A

high levels of shape and weight concern
acted out through food
irregular eating, skipping meals, dieting
vegetarianism

22
Q

what can cravings be triggered by

A

by negative mood

23
Q

what is involved in eating and emotion disorders

A

stopping eating

binge eating and purging

24
Q

who can the ED team involve

A
CAMHS practitioners 
dietitian 
family therapists 
nurses 
paediatrics 
psychiatrists
25
Q

what are the physical risks of ED and medical checks that occur

A
height 
weight 
blood pressure 
ecg 
routine bloods
26
Q

what is the course of disordered eating

A

single short crisis, chronic disorder,

27
Q

what is more likely if it is a short single crisis

A

recovery is more likely who are offered help fast

28
Q

what are treatment issues

A

getting help early
access to psychological interventions
specialist CAMHS

29
Q

what is a dentists responsibility

A

communication-explain oral changes

be aware of community resources

30
Q

what do we need to practice

A
monitor dental erosin 
mucosal lesions 
minimise abrasive materials 
advice of toothbrushing 
sugarless gum