Eating Disorders

Question 1

Screening tools for eating disorders

Answer 1

SCOFF - 2 or more +ve answers then eating disorder likely
Do you make yourself sick?
Do you worry lost control?
Lost > 1 stone in 3 month period
Believe to be fat when others say too thin
Would you say food dominates life?

Question 2

Diagnosis of Anorexia Nervosa

Answer 2

Restriction of intake to reduce weight
Relies on compulsive compensatory behaviours
Anorexic if 15% below ideal body weight/BMI =17.5
Fear of weight gain
Absence of menstrauls cycle or amenorrhea (greater than 3 cycles)

Question 3

Diagnosis of bulimia nervosa

Answer 3

Binge eating with sense of loss of control
Followed by compensatory behaviour of purging or non purging type
Binges and resulting compensatory behaviour must occur at least 2/7 for 3/12
Dissatisfaction with body shape and weight

Question 4

Complications of eating disorders

Answer 4

Russels sign - scarring on fingers from inducing vomiting
Mallory-weiss tear
Erosion of tooth enamel
Electrolyte imbalance
Hypotension, bradycardia
Malnutrition

Question 5

Treatment of eating disorders

Answer 5

Dietary support and refeeding
Psychological therapy
SSRIs in bulimia