Eating Disorders

Question 1

Diagnostic criteria of anorexia

Answer 1

all of LOSE

Low body weight (>15% below expected), overvalued ideal, self induced, endocrine disturbance

Question 2

Diagnostic criteria of bulimia

Answer 2

all of BOM

Binge eating, Overvalued ideal, Methods of countering

Question 3

Biopsychosocial etiology of eating disorders

Answer 3

bio - genetic, abnormalities in 5-ht
psycho - low self esteem, perfectionist, dieting
Social - western culture, occupation

Question 4

Results of starvation and investigations

Answer 4

results - CHICA - Cold intolerance, Hypotension, Infertility, Constipation, Amenorrhoea
investigation - raised urea (dehydrated), raised cortisol and GH, lower T3 FSH LH, hypercholesteremia, hypoglycaemia, anemia

Question 5

Physiological Results of vomiting

Answer 5

erosion of teeth, enlarged salivary glands, calluses at back of hand, oesophageal tear

Question 6

Investigatory results of vomiting

Answer 6

hypokalaemia, alkalosis, hyponatremia

Question 7

management of eating disorder. Emergency management

Answer 7

bio - fluoxetine
psycho - psychoeducation, CBT, family therapy
Emergency - hospitalisation if v low BMI, suicide risk or electrolyte disturbance