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EPC > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

Anorexia Nervosa- Diagnostic criteria

A

Refuse to maintain minimal weight for age and height (85% of what is expected)
To spite being under weight they have an intense fear of gaining weight, getting fat
Amenorrhea in postmenarchal females (for 3 consecutive cycles)
disturbance in body image experience
undue influence of body weight or shape on self evaluation
denial of serious of current low body weight

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2
Q

What are the 2 types of anorexia nervosa

A

restricting type

binge purge type

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3
Q

Describe restricting type of anorexia nervosa

what % of anorexics is this

A

Starve themselves

50%

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4
Q

Describe the binging/ purging type of AN

what % of anorexics have this type

A

Will eat and then purge

50%

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5
Q

What are methods of purging used in AN

A

self induced vomiting
misuse of laxatives
diuretics
enemas

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6
Q

Anorexia Nervosa onset

A

mid teens

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7
Q

anorexia nervosa affects what age range

A

14-30

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8
Q

anorexia nervosa males vs females

A

10-20x more common in females

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9
Q

what % of adolescent girls are anorexic

A

1%

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10
Q

what % of adolescent girls have some symptoms but dont meet all of the criteria

A

5%

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11
Q

what conditions are comorbid with anorexia nervosa

A

depression (65%)
Social anxiety disorder (34%)
OCD (26%)

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12
Q

Etiology of Anorexia nervosa

A

biological factors- family history is important
social factors
psychological factors- dont develop a sense of self outside of their body image, a lot of it has to do with the familial environment

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13
Q

Clinical features of anorexia nervosa

A

Have a rigid/ perfectionist cognitive style
delayed psychosocial development
they are hungry but make a conscious choice not to eat
They have an altered sense of self both visually and cognitively
They are deceptive about their eating habits so other people don’t find out

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14
Q

Physical signs of Anorexia Nervosa

A 
weight loss is apparent
hypothermia
bradycardia (HR<50)
dependent edema b/c lack protein
hypotension
Lanugo
Dehydration
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15
Q

Complications of weight loss in anorexia nervosa

A 
cachexic
skeletal- weak bones
hematological- low WBC, anemic
Cardiac arrhythmia or failure
GI- constipated
Reproductive- amenorrea 
dermatological- dry skin, hair, and nails
neuropsychiatric problems- seizures and cognitive dullness
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16
Q

Lab findings in Anorexia nervosa

A 
EKG changes
Metabolic changes
Leukopenia
mild hypothyroid
dec in reproductive hormones
17
Q

Effects of emesis and laxative abuse in anorexia nervosa

A

metabolic effects
ulcers
dental problems
neuropsychiatric–> seizures

18
Q

DDx in Anorexia nervosa

A

depressive disorder
somatotization disorder
schizophrenia
Bulimia nervosa

19
Q

prognosis of Anorexia nervosa

A

25% recover completely
50% will be much improved
25% will be chronically underweight

20
Q

What is the mortality rate of anorexia nervosa

A

7%

21
Q

Treatment of Anorexia Nervosa

A

Hospitalization to deal with acute symptoms

individual and family psychotherapy

22
Q

Is there a role for pharmacotherapy in treating anorexia nervosa

A

NO

23
Q

Criteria for Bulimia Nervosa

A

episodes of eating more than other people accompanied by feeling like its not in your control.
This is followed by compensatory behaviors to prevent weight gain
this occurs about twice/ week for 3 months
self evaluation is unduly tied to body shape and weight
the disturbance does not occur exclusively during episodes of anorexia nervosa
ESSENTIALLY THESE ARE FAILED ANOREXICS

24
Q

What compensatory mechanism are used by bulimics to prevent weight gain

A 
self induced vomiting
laxatives
enemas
fasting
excessive exercise
25
Q

what are the two types of Bulimia

A

Purging and Non Purging

26
Q

Describe purging bulimia

what % of bulimics is this

A

regular use of vomiting
misuse of laxatives
diuretics or enemas
80%

27
Q

describe non purging bulimia

what % of cases is this

A

Don’t use purging behaviors but rather use exercise, fasting, and other compensatory behaviors
20%

28
Q

What is the prevalence of Bulimia nervosa

A

2-4% of young women

29
Q

what is the ration of females to males

A

10:1

30
Q

what percentage of college women will experience bulimic symptoms

A

20%

31
Q

what is the weight and weight history of women that this is found in?

A

Normaly found in normal weight women, some may have a history of obesity

32
Q

Etiology of bulimia nervosa

A

biological factors
social factors
psychological factors

33
Q

what is the typical everyday behavior of bulimics

A

more outgoing, angry, and impulsive than anorexics

34
Q

what behavioral problems are assoc w/ bulimia

A

alcohol dependence
shop lifing
emotional lability= mood swings

35
Q

how do bulimics view their eating disorder

A

they view their bulimia as a problem and they seek help vs anorexics who dont see it as a problem and hide it

36
Q

lab findings of bulimia

A

metabolic disturbances

dehydration

37
Q

treatment for bulimia

A

individual psychotherapy

SSRIs

38
Q

Binge Eating disorder- can be described as

A

failed bulimics

EPC (2 decks)

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