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MS4 - Psychiatry > Eating disorders > Flashcards

Eating disorders Flashcards

1
Q

Biological RFs for eating disorders

A

F
FH
Age - Adolescence
Early menarche (bulimia nervosa)

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2
Q

Psychological RFs for eating disorders

A

Adverse parenting - eg. high expectations
Abuse
Perfectionism
Low self esteem

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3
Q

Social RFs for eating disorders

A

Adolescence - social media
Western culture
Bullying
Occupation

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4
Q

Common eating disorders

A

Anorexia nervosa
Bulimia nervosa
Binge eating disorder

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5
Q

Anorexia nervosa features

A

BMI < 17.5
Amenorrhoea
Excess in higher social class
Overvalued idea of dread of fatness

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6
Q

Definition of anorexia nervosa

A

Person tries to keep weight low

Eg. Starving, Excessive exercise

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7
Q

Bulimia nervosa features

A

BMI > 17.5

Mostly young adults

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8
Q

Bulimia nervosa definition

A

Periods of binge eating and then deliberate purge (eg. vomiting, laxatives) to control weight

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9
Q

Binge eating disorder age? BMI?

A

BMI > 30

Pts usually present in 40s

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10
Q

Binge eating disorder definition

A

Compelled to overeat large food quantities in short space of time in absence of weight control behaviour

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11
Q

Overvalued idea vs delusion

A

Overvalued idea may be challenged

Delusion cannot

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12
Q

Diabulimia

A

Diabetic and reduce calorie intake by modifying insulin regime
Very dangerous

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13
Q

Binge-purge subtype of anorexia vs Bulimia nervosa

A

BMI < 17.5 vs BMI > 17.5

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14
Q

Binge eating disorder criteria

A

Pt distressed by their behaviour

Binge eating > 2 days per month

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15
Q

Binge definition

A

Eaten in discrete amount of time ( < 2 hrs)

Associated with lack of control

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16
Q

BMI level for concerns over capacity

A

BMI < 15

17
Q

Brain daily calorie requirements

A

500 kcal per day

18
Q

Physical Sx

A 
Increased sensitivity to cold
GI Sx
Syncope
Amenorrhoea
Low sexual appetite
Lanugo
Stunted growth
Dry skin
19
Q

Physical signs of eating disorders

A 
Hypercarotenaemia
Russel's sign
Parotid and submandibular swelling
Perimylolysis
Bradycardia / Arrhythmias
Orthostatic hypotension
20
Q

Lanugo

A

Fine downy hair

21
Q

Perimylolysis

A

Erosion of inner surface of teeth

Due to frequent vomiting

22
Q

Common complications of eating disorders

A

Hypokalaemia - ‘U’ have no Pot and no T but a long PR and a long QT
Thyroid dysfunction
Osteoporosis

23
Q

Assessment of eating disorders

A

Medical
Patterns of eating - changes over time
Psychological

24
Q

Medical assessment of eating disorders

A

BMI

Physical Sx

25
Q

Psychological assessment of eating disorders

A

Body image disturbance
Why now?
Motivation to change?

26
Q

Hypercarotenaemia

A

Orange pigmentation of skin

27
Q

Russel’s sign

A

Calluses on back of hand over knuckles

Due to repeated self induced vomiting

MS4 - Psychiatry (15 decks)

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