Eating disorders Flashcards

1
Q

What are the SCOFF questions?

A

Made self Sick because uncomfortably full
Lost Control over what they eat
Lost >One stone in 3 months
Believe self to be Fat when others say they are thin
Food dominates life

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2
Q

What is anorexia nervosa?

A

Restriction of food intake to reduce weight

Relied on compulsive compensatory behaviours when food cannot be avoided

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3
Q

What compulsory compensatory behaviours are used?

A

Self induced vomiting
Laxative abuse
Excessive exercise
Abuse of appetite suppressants/weight loss supplements

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4
Q

What are the physical signs and symptoms of anorexia nervosa?

A
Cold intolerance
Constipation and bloating
Amenorrhoea
Dry skin
Fainting
Hypotension
Bradycardia
Scalp hair loss
Weakness and fatigue
Osteopenia and osteoporosis
Short stature and delayed puberty
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5
Q

What is bulimia nervosa?

A

Episodes of binge eating with a sense of loss of control, followed by compensatory behaviour of purging or non purging type >2x a week for 3 months

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6
Q

What are purging behaviours?

A

Self induced vomiting
Laxative abuse
Diuretic abuse

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7
Q

What are non purging compensatory behaviours?

A

Excessive exercise
Fasting
Strict diet

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8
Q

What are the physical signs and symptoms of bulimia nervosa?

A
Mouth sores
Renal issues
Pharyngeal trauma
Oesophageal tear
Muscle cramps
Weakness
Bloody diarrhoea
Irregular periods
Fainting
Swollen parotid glands
Hypotension
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9
Q

What is binge eating disorder?

A

Similar to bulimia nervosa but absence of purging

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10
Q

What are the signs and symptoms of purge eating disorder?

A
Ongoing and/or repetitive cycles often including
Unusually fast eating, often when alone
Unusually large amounts consumed
Uncomfortably full
Embarrassment, guilt, shame, depression
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11
Q

What are the ways people avoid calorie intake?

A

Diets- veggie or vegan
Not touching food or grease
Developing dislikes, pickiness or “allergies”
Eating very slowly, or only at certain times
Avoiding parties or social situations
Spoiling or messing with food
Refusing to eat more than the person who eats least
Medication abuse

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12
Q

What are the ways people get rid of calories?

A
Self induced vomiting
Chewing or spitting out
Overexercise
Overactivity
Cooling
Blood letting
Medication abuse
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13
Q

What are the signs re body image of disordered eating?

A

Body checking
Visiting pro-ana welsites
Competing with self totobtain lower and lower goals
Deliberate self harm if images broken

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14
Q

What are the psychological consequences of eating disorders?

A

Reduced central coherence and narrowed focus of interest
Unable to interpret emotion
Depression, anxiety, obsessionally, loss of concentration

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15
Q

What are the social consequences of eating disorders?

A

Withdraw from friendships

Lose interest in sexual relationships

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16
Q

What are the physical consequences of eating disorders?

A
Poor repair and resistance
Heart damage
Reduced immunity
Bone loss
Fertility problems
Purging- can cause seizures and arrythmias
Slowed development
17
Q

What are the precipitating factors for an eating disorder?

A

Puberty
Dieting or non-deliberate weight loss
Increased exercise
Stressful life events

18
Q

What are the perpetuating factors in eating disorders?

A

Starvation syndrome- delayed gastric emptying
Narrowing focus
Obsessionality

19
Q

What is the management of eating disorders?

A
Refeeding
CBT
IPT
Antidepressants
Olanzapine
Family work- esp in younger patients