Eating Disorders Flashcards
Refusal to maintain weight within a normal range for height and age (more than 15 percent below ideal body weight)
anorexia-nervosa
In postmenarchal females, absence of the menstrual cycle, or amenorrhea (greater than three cycles)
anorexia-nervosa
name the subtypes of anorexia
restricting and binge eating/purging
Episodes of binge eating with a sense of loss of control
Binge eating is followed by compensatory behavior of the purging type
bulimia
How often must binging/purging occur to meet DSM diagnosis criteria?
occur a minimum of two times per week for three months
Sx include: mouth sores, dental caries, pharyngeal trauma, heartburn, impulsivity, irregular menses, bloody diarrhea, muscle cramps
bulimia
Sx include: dry skin, cold intolerance, constipation, bloating, lanugo, orthostatic hypotension, osteopenia, cardiac murmurs
anorexia
Criteria includes: eating rapidly, until uncomfortably full when not hungry, eating alone and feeling disgusting about overeating
binge eating
All criteria for bulimia nervosa except binges < twice a week or for < 3 months
Eating disorder NOS
T/F As minority culture groups assimilate into American society, rates of eating disorders increase
true
PE findings include: skin dryness, bruising, lanugo. Bradycardia, arrhythia, MVP
anorexia
PE findings include: Parotid gland hypertrophy and erosion of the teeth enamel
bulimia
One of the most severe complications of anorexia that is difficult to reverse. treated with 1200-1500mg/day of elemental calcium
osteopenia
Cause of amenorrhea in anorexics
low levels of FSH and LH
When is risk of heart failure greatest in anorexia?
in the first 2 weeks of refeeding (reduced cardiac contractility and refeeding edema)
How do you prevent heart failure during refeeding treatment?
Slow refeeding, repletion of PO4, avoidance of sodium intake
Treatment goal of anorexia
regain to goal of 90-92% of IBW
Medications that are successful for treating bulimia
Prozac, TCAs, Topiramate (Topamax), Ondansetron (Zofran)
Components of the female athete’s triad
disordered eating, osteoporosis, amenorrhea
Atypical antipsychotic that can be useful in treating anorexia due to side effect of weight gain
olanzapine (Zyprexa)
