Eating disorders Flashcards

1
Q

what screening tool is used for identifying an eating disorder?

A

SCOFF questionnaire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what questions are in the SCOFF questionnaire?

A

do you make yourself sick because you feel uncomfortably full?

do you worry you have lost control over how much you eat?

have you recently lost over one stone in the past 3 months?

you you believe yourself to be fat when people tell you otherwise?

would you say food dominated your life?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

at what weight is someone considered anorexic?

A

BMI 17.5 or less

15% below ideal body weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the physical consequences of anorexia nervosa?

A
due to starvation;
- constipation
- delayed gastric emptying causing feeling of fullness 
- cold intolerence
- blue feet and hands 
- lanugo hair 
- hypotension
- slow heart rate, arrhythmias 
early satiety 
- fatigue, weakness 
- fainting 
- dry skin 
- delayed puberty/ primary amenorrhoea  
- secondary amenorrhoea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the key features of anorexia nervosa?

A

restriction of food intake
relies on compulsive compensatory behaviours in order to counteract food intake i.e. exercise, laxatives
amenorrhoea for > 3 cycles
weight loss > 15% body weight in 3 months or BMI < 17.5
fear of gaining weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the key features of bulimia nervosa?

A

episodes of binge eating with a sense of loss of control
followed by compensatory behaviour of purging or excessive exercise, fasting
binging and compensatory behaviour must occur twice per week for 3 months
dissatisfaction with body shape and weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the physical consequences of bulimia?

A
mouth sores 
pharyngeal trauma 
dental caries
heart burn 
oesophageal rupture
muscle cramps
weakness
bloddy diarrhoea
fainting 
hypotension
swollen parotid gland
irregular periods
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the key features of binge eating disorder?

A

similar to bulimia but in the absence of the purging behaviour
ongoing or repetitive cycles of;
- eating unusually fast
- unusually large amounts
- usually eat alone
- causes guilt, shame, depression, embarrassment
- uncomfortably full

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the psychological consequences of eating disorders?

A

extreme overvaluation of low weight and thin shape

obsessive weight-losing feels like a solution not a problem

starved person unlikely to interpret emotion

depression at low weights

people who rely on eating disorder behaviour to self problems fail to develop other was to cope with life, tolerate stress or feel rewarded and fulfilled

anxiety whilst eating (esp in company) and then guild afterwards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the social consequences of eating disorders?

A

people become ‘obstacles’ to the eating disorder
push people away
lose friendships
lack of interest in sexual relationships
withdrawn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the predisposing factors for anorexia nervosa?

A
OCD
anxiety disorders
perfectionism 
perinatal factors 
life events or traumas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the precipitating factors for anorexia nervosa?

A

increased exercise
dieting or even non deliberate weight loss
stressful life evens
puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the perpetuating factors for anorexia nervosa?

A

consequences of starvation syndrome promote the eating disorder behaviours
delayed gastric emptying increasing feeling dn anxiety of fatness
narrowing focus with avoidance of interpersonal interest, change of values so that food becomes the more important thing
obsessionally
- phobia of fat increases as avoidance increases
- body checking amplifies the body image concern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the treatment options for anorexia nervosa?

A
re-feeding 
CBT 
family based therapy (children / adolescents)
interpersonal therapy 
flucloxacillin (60mg)
clozapine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the criteria for admitting someone for inpatient care for an eating disorder?

A
weight 85% or less of expected weight and/or 1/3 percentile for BMI 
lack of weight gain 
significant oedema
physiological compromise;
- electrolyte disturbance 
- cardiac disturbance 
- altered mental status
- orthostatic difference 30mmHg or greater 
temp < 36
heart rate < 45
symptoms cannot be managed by outpatient care 
psychosis or high risk of suicide
How well did you know this?
1
Not at all
2
3
4
5
Perfectly