Eating Disorders

Question 1

Co-morbid conditions with anorexia nervosa?

Answer 1

Anxiety
OCD
Possible borderline personality

Question 2

RANZCP admission physical guidelines for Anorexia Nervosa

Answer 2

BMI

Question 3

Psychiatric reasons for admissions for anorexia nervosa?

Answer 3

Suicidal
Anorexic cognition a
Other psychiatric
Eating supervision
Exercise
Compulsions

Question 4

Signs of anorexia nervosa in physical exam?

Answer 4

Proximal myopathy
Prominent facial bones
Bruising
Lanugo hair
Dry scaly skin
Hypothermia
Russell's sign (scars on back of knuckles from self-induced vomiting)
Poor dentition

Question 5

If hypokalaemic from anorexia nervosa, what do you see on ECG?

Answer 5

Widespread ‘U’ waves, QTC 450

Question 6

What investigations for anorexia nervosa?

Answer 6

ECG
UEC: usu. normal
LFTs: increased cholesteral
FBE: Hb, WCC, Pit, ESR low

Question 7

What is refeeding syndrome?

Answer 7

Starvation=low CHO intake, lot insulin
Stimulates PO4, K, Mg, into cells, fall in serious concern.
Within 3-4 days of re feeding
May get hypoK, hypo, Mg, sodium retention

Question 8

Refeeding syndrome complications

Answer 8

Cardiac failure
Resp failure
Wernickes
Sepsis
Acute renal failure

Question 9

Risk factors for anorexia?

Answer 9

Family history
Personal history
Personal characteristics