eating disorders Flashcards
1
Q
ICD-10 definition of Anorexia nervosa
A
- morbid fear of fatness
- distorted body image
- deliberate weight loss
- amenorrhoea
- BMI <17.5
- in men- loss of sexual interest and potency
- pre-pubertal- development arrested
2
Q
what are the 2 types of AN ?
A
restrictive- minimal food intake and excessive exercise
Bulimic/binge purge- episodic binge eating with laxative use and induced vomiting
3
Q
what are 6 causes of AN and BN?
A
- genetics- if first degree relative has ED
- Personality- anxious, OCD, low self-esteem
- biological- altered brain serotonin function contributes to regulation of apetite, mood and impulse control
- childhood sexual abuse
- over-protective or overcontrolling childhood environment
- culture- in the media
4
Q
What are 6 associated clinical features of AN?
A
- preoccupation with food (dieting, prepartion of elaborate meal plans for others)
- self-cosncious about eating in public
- vigorous exercise
- constipation
- cold intolerance
- depressive compulsive symptoms
5
Q
List 5 physical signs of AN
A
- emaciation (state of being abnormally thin or weak)
- dry, yellow skin
- fine lanugo hair on face and trunk
- bradycardia and hypotension
- anaemia and leucopaenia
6
Q
list 5 consequences of rpeated vomiting
A
- hypokalaemia
- alkalosis
- pitted teeth
- parotid swelling \
- scarring of dorsum of hand
7
Q
Ddx for An?
A
- psychosis- schiz (delusions about food)
2. organic : diabetes, addison’s, malabsorption, malignancy
8
Q
Treatment for AN?
A
- family interventions/therapy
- CBT
- interpersonal therapy
- hospital if
- significant physical abnormalities
- suicide risk
- BMI <13.5
9
Q
ICD10 for bulimia nervosa
A
- morbif fear of fatness, distroted body image
- craving for fodd and uncontrolled binge eating (>2000 kcal in a session)
- Purging/vomiting/laxative abuse- or in diabetics omit insulin
- fluctuation (normal or exessive weight)
- preoccupation with body weight and shape
- episodes not exclusively during episodes of AN
10
Q
list 4 associated clinical features of BM
A
- normal or excessive weight which often fluctates
- loss of control or in a trance-like state during binging
- intense self loathing and associated depression
- muli-impulsive bulimia–> poor impulse control–> alcohol and drug misuse–> deliberate self harm –> stealing/sexual disinhibitoon
11
Q
5 physical signs of BN
A
- amennrhoea
- hypokalaemia
- signs of excesisve vom
- oesophageal tears
12
Q
DDx of BN
A
- anorexia nervosa
2. neuro: Kleine-Levin, Kluver Bucy
13
Q
Treatment of BN
A
- CBT/IPT
- estabish regular eating programme
- re-establish control of diet
- adress underlying abnormal cognitions - SSRI- fluoxetine (less effective than CBT)
14
Q
what is binge eating disorder
A
- associated with loss of control and distress, without purging and typically leads to obesity (BMI>30)
15
Q
causes of obesity
A
- weight -controlling genes
- sedentary lifestyle
- family and cultural influence
High availabilty of cheap calorific foods
