Eating Disorders Flashcards
Anorexia Nervosa Diagnostic Criteria
BMI 17.5 or < self induced weight loss body image disturbance fear of fatness amenorrhoea
some physical symptoms of anorexia
Muscle wasting, hair loss Lanugo hair Cold, blue peripheries Dry skin Hypercarotenaemia Bradycardia, hypotension Bruising
psychological disorders that often come with anorexia
depression
ocd
substance misuse
diabetes mellitus
eating disorder risk assessment - what is high risk
BMI <13 wt. loss >1kg/week prolonged QT, HR<40, Syst.BP <80 core temp <34C unable to rise from squat without using arms for leverage cognitive impairment
what blood tests need done for anorexia
GGT 485
ALT 442
Protein 56
Albumin 34
what is refeeding syndrome
depletion of already inadequate stores of nutrients which are quickly used up as body starts to repair itself
how do you prevent referring syndrome
frequent blood monitoring, slow pace of initial feeding
what refeeding bloods need to be done
ALT Albumin Phosphate Magnesium Hb
Psychological management of anorexia
psychological therapies - CBT dietitian medical conditioning art therapy/drama therapy family therapy inpatient treatment for high risk
what does the mental health act address
capacity
risk
reciprocity
artificial feeding
what is bulimia nervosa
Persistent preoccupation with eating Irresistible craving for food Binges Attempts to counter the effects of binges (starvation, vomiting, laxatives, drug misuse) Morbid dread of fatness
what physical symptoms are seen in bulimia nervosa
Calluses on knuckles
Parotid hypertrophy
Dental caries
U & Es
common psychological conditions that go with bulimia nervosa
Depression
Self harm
Substance misuse
Impulsive personality
medical complications of bulimia nervosa
oesophageal reflux oesophageal tears/ruptures hypokalaemia subconjunctival haemorrhage dehydration seizures - metabolic abnormalities
management of bulimia nervosa
guided self help
CBT
SSRI
