Eating Disorders Flashcards
What are compensatory mechanisms for BN?
To avoid weight gain - purging, laxatives and heavy exercise
What are some physical features of BN?
Swollen parotid glands
Russels sign
Mouth ulcers
Weight fluctuation
Dental erosion
What is an electrolyte change in BN?
Hypokalaemia
Alkalosis - vomiting stomach HCL
What are ECG changes of hypokalaemia?
U waves
Prolonged PR
ST depression
T wave flattening
What are the 1st and 2nd line medications for BN?
Fluoxetine then Sertraline
What is a screening tool for BN used in primary care?
SCOFF
What are some features of AN?
Lanugo hair
Hypotension
Hypokalaemia
Excess weight loss
Oedema
Osteoporosis
Mood changes
Solitude
Bradycardia
Poor insight
What is extreme low BMI?
Under 15
What is mild BMI?
Under 17
What is a red flag test in AN?
Sit up squat stand test
What is the treatment for AN?
CBT-E
What is a complication of AN recovery?
Refeeding syndrome - metabolism in cells slows when starved so when they start again they use up magnesium, phosphate, potassium and glucose and this leads to dangerous low levels
What are some symptoms of refeeding syndrome?
Oedema
Confusion
Tachycardia
Delirium
Seizures
What should be monitored for refeeding syndrome?
Magnesium
Potassium
Phosphate
Glucose
