Eating Disorders Flashcards

1
Q

When a patient is anorexic what happens to their body?

A
  • Individual becomes malnourished
  • Damage to brain, heart, and kidneys
  • Highest mortality rate of any mental illness
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2
Q

How is Anorexia Nervosa described?

A
  • Extreme perfectionism
  • Significant weight loss
  • Body image disturbances
  • Strenuous exercising
  • Need to please others, meet expectations
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3
Q

What are the characteristics of anorexia?

A
  • Preoccupation with food and rituals of eating
  • Refusal to eat
  • Occurs most often in females from adolescent to adulthood
  • Onset is often stressful life event
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4
Q

What are the Anorexia Nervosa Manifestations?

A
  • Brittle hair and nails, dry skin
  • Lanugo
  • Feel cold
  • Decreased HR and BP
  • Osteoporosis
  • Amenorrhea
  • Constipation
  • Anemia
  • Low sodium and potassium
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5
Q

How does Bulimia Nervosa begin?

A

As a way to eat and stay slim due to obsession with body appearance

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6
Q

How is Bulimia Nervosa described?

A

Binge eating + unhealthy compensatory behaviors at least once per week for 3 months

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7
Q

What are the characteristics of bulimia nervosa?

A
  • Fasting
  • Binge eating
  • Purging final part of cycle: vomiting, laxatives, diarrhea
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8
Q

What does Bulimia Nervosa become a response to?

A

Stress and negative feelings

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9
Q

What are the physical indicators of bulimia nervosa?

A
  • Stomach pain
  • Sore throat
  • Damaged teeth
  • Scars on back of fingers
  • Electrolyte imbalances
  • GERD
  • Dehydration
  • Irregular heart rate
  • Swollen parotid glands
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10
Q

Who typically has bulimia nervosa?

A

Adolescent females

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11
Q

If a patient has bulimia nervosa what happens with their weight?

A

They are usually normal weight or even slightly overweight

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12
Q

Eating disorder symptoms are common with which age group?

A

OLDER ADULTS

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13
Q

What diagnostic tests are used for anorexia nervosa?

A
  • Albumin, total protein, electrolyte levels
  • CBC, bone density, ECG, urinalysis
  • Kidney, thyroid, liver function tests
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14
Q

What is the diagnostic tests for Bulimia nervosa?

A

Dental assessment and physical examination

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15
Q

What is the diagnostic test for binge-eating disorder

A

Physical exam, blood and urine tests

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16
Q

What is the pharmacologic therapy used for treating anorexia nervosa?

A
  • Antidepressants
  • Antipsychotics
  • Mood Stabilizers
17
Q

What two antidepressants are used to treat anorexia nervosa?

A
  • SSRIs

- Bupropion Hydrochloride

18
Q

What pharmacologic therapy is used to treat bulimia nervosa?

A

Fluoxetine

19
Q

What pharmacologic therapy is used to treat binge-eating disorder?

A

Antidepressants especially fluoxetine

20
Q

What is the most common adverse effects of SSRIs?

A
  • Sexual dysfunction
  • Nausea
  • Headache
  • Weight gain
  • Anxiety
  • Insomnia
21
Q

What are the less common side effects of SSRIs?

A
  • Sedation
  • Anticholinergic effects
  • Sympathomimetic effects