Eating disorders

Question 1

Anorexia nervosa (ICD-10) (4)

Answer 1

All of the following should be present:
1. Low body weight, 15% below expected (BMI amenorrhoea, raised cortisol, raised GH, low T3
If prepubertal: failure to make expected weight gains, delayed pubertal events

Question 2

Bulimia nervosa

Answer 2

All of the following:

1. Binge eating
2. Strong cravings for food
3. Methods to counteract weight gain (vomiting, laxatives, fasting, exercise etc.)
4. Overvalued idea: dread of fatness, self-perception of being too fat, fa low ratite weights

Question 3

Some strategies used to lose weight

Answer 3

-Self-induced vomiting
-Laxatives
-Diuretics
-Fasting
-Excessive exercise
-Misuse of thyroid drugs
-Diabetic patients refusing to administer insulin
Etc.

Question 4

Medical complications related to starvation (11)

Answer 4

• Emaciation
• Amenorrhoea; infertility; reproductive system atrophy
• Cardiomyopathy
• Constipation; abdominal pain
• Cold intolerance; lethargy
• Bradycardia; hypotension; cardiac arrhythmia; heart failure
• Lanugo: fine, downy hair on trunk; loss of head hair
• Peripheral oedema
• Proximal myopathy; muscle wasting
• Osteoporosis; fractures
• Seizures; impaired concentration; depression

Question 5

Medical complications related to vomiting (4)

Answer 5

• Permanent erosion of dental enamel; dental cavities
• Enlargement of salivary glands (especially parotid)
• Calluses on the back of hands from repeated teeth trauma (Russell’s sign)
• Oesophageal tears; gastric rupture

Question 6

Ab

Answer 6

b