Eating Disorders

Question 1

criteria for anorexis

Answer 1

BMI 17.5 or less
self induced weight loss- strict diet, excessive exercise, vomiting, medication

body image disturbance
fear of fatness
amennorhoea

Question 2

starvation effects on the brain

Answer 2

loss of grey and white matter
increased compulsive disorder
enhanced response to hedonic and nurostal signals
decreased social status
focus on food
poor concentration
new learning stunted

Question 3

medical complications of anorexia

Answer 3

teeth problems
hypotension
decreased HR
bloating
long QT
arrythmia
renal failure
nocturia
low eostrogen
low thyroxine
increased cortisol
muscle weakness
 cramp
fractures
osteoporosis
hypothermia
dehydration

Question 4

what is refeeding syndrome?

Answer 4

caused by depletion of already inadequate store of nutrientTs which are quickly used up as body starts to repair itself

Question 5

treatment of anorexia

Answer 5

CBT
dietician
medical monitoring
inpatient treatment if high risk

Question 6

ICD 10 criteria for bulimia

Answer 6

persistent preoccupation with eating
irresistible craving for food
binges
then vomits. starves, laxatives, drug misuse

Question 7

physical signs of bulimia

Answer 7

russels sign- calluses on knuckles
parotid hypertrophy
dental caries

Question 8

medical complications of bulimia

Answer 8

oesophageal relfux/ tears/ ruptures

hypokalaemia
dehydration
seizures

Question 9

what is binge eating disorders

Answer 9

episodes of compulsive overeating