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Psychiatry-M2 > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

What is criteria for Anorexia Nervosa?

A
  • Intense weight loss – self induced starvation
  • intense dieting / exercising
  • disrupted body image
  • signs of starvation
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2
Q

What are the subtypes of Anorexia?

A
    • Binge/Purge – large amount of food in a short amount of time, then compensatory behavior to rid the food/weight
    • Restricting Type – severely limiting caloric intake
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3
Q

What might be some key signs of starvation symptoms?

A
  • hypothermia, cold intolerance
  • amenorrhea
  • bradycardia/hypotension
  • alopecia/dry skin
  • Pancytopenia
  • Fatigue
  • *Every Organ System Affected**
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4
Q

Who most likely develop Anorexia?

A
  • Females, mid-teens
  • Dieting for one reason or another can lead to it
  • FamHx of mood disorders
  • Usually onset at beginning of puberty
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5
Q

What are the social influences that can contribute?

A
  • Performance pressures in sports (Gymnastics, Wrestling)
  • Teasing about weight
  • Media Influences
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6
Q

What is the biggest red flag in Anorexia?

A

Weight Loss in Teenagers!

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7
Q

What is the best treatment option of Anorexia?

A

Typically they are resistant to treatment and there is no sure-fire test to confirm it other than symptoms and excessive weight loss.

    • Food
    • May requrie inpatient hospitalization to correct metabolic abnormalities
    • Team approach to therapy working in all aspects of their life eating, medical, psych, behavior
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8
Q

How is bulimia nervosa different from Anorexia?

A
  • Episodes of Over-eating, then compensatory behavior to prevent weight gain occuring at least 1x per week for 3 months. Depending on number of episodes a week correlates to severity.
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9
Q

What are common methods of purging besides vomiting?

A
  • Misuse of Laxatives, diuretics, enemas

- Excessive Exercise, restrictive dieting, skipping meals

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10
Q

What might be physical signs that can make you suspicious a patient is bulimic?

A
  • Parotid Hypertrophy
  • Russel’s Sign – abrasions on knuckles from inducing vomiting
  • Dental erosions and caries (Freq dental visits)
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11
Q

You are seeing a patient who you are suspicious of being bulimic and do electrolyte testing, what might be the finding if they are abusing laxatives?

A
  • Low Potassium, High Chloride, Low Bicarb
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12
Q

You are seeing a patient who you are suspicious of being bulimic and do electrolyte testing, what might be the finding if they are abusing diuretics?

A
  • Low Potassium, Low Sodium, High Bicarb
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13
Q

If you are suspicious of a patient to have an eating disorder and or electrolyte testing. The results indicate she has hypokalemia, hyponatremia, elevated bicarb, hypomagnesium, elevated serum amylase. What should you suspect?

A

The patient is purging by vomiting or abusing diuretics

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14
Q

What is a possible symptoms of the hypokalemia experienced from vomiting in bulimia?

A

Cardiac Arrhythmias

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15
Q

If a patient is found to be purging more than 3 times per week with their binge eating, what should be the recommended treatment?

A

Inpatient Evaluation and treatment.

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16
Q

What are social conditions associated with bulimia?

A
  • Depression
  • Temperament –overachiever, secretive, self-critical, outgoing, impulsive
  • Other substance use and abuse
17
Q

What are the most common treatments that can help bulmia nervosa successfully?

A

Most are outpatients unless 3x+ per week

  • Cognitive-Behavioral Therapy
  • Family Therapy (to be more supportive)
  • SSRI – Fluoxetine
18
Q

What is it considered if a person multiple times per month has a single sitting in which they binge eat countless calories, even though they had been speaking of how they are on a diet and worried about what they eat. After this binge episode there is no compensatory behavior to counter-act the food.

A

Binge-Eating Disorder

    • Binge Eating with marked distress minimum once per week in a 3 month period
    • However, NO Compensatory Behavior
19
Q

How are Anorexia Nervosa and Avoidant/Restrictive Food Intake disorder different from one another?

A
  • Both involve persistent failure to meet appropriate guidelines of nutrition/energy needs
  • However – These patients do not experience a distorted self-image on how their body is viewed
20
Q

How is purging disorder different from bulimia disorder?

A

Purging Disorder – the patients frequently purge, but do not necessarily have a distorted body image or restricted diet/obsessing over food.

21
Q

What is considered reasonable weight loss in an adult?

A
  • 5-10% Body Weight Loss over 6 months or 1-2 lbs lost per week
    Children/Teens – should lose weight slower than adults or have a goal to just maintain weight
22
Q

What are reasonable dietary changes to help weight loss goals?

A
  • Limit Portion Sizes

- Behavioral Modifications – BEST, food diary, change patterns of eating and how you eat.

Psychiatry-M2 (14 decks)

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