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Psych AM > Eating disorders > Flashcards

Eating disorders Flashcards

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1
Q

What screening tool is used for eating disorders?

A

SCOFF questionnaire

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2
Q

What is the SCOFF questionnaire?

A

Male self Sick because uncomfortably fill
Worry they’ve lost Control over eating
Lose more than One stone in 3 months
Believes self to be Fat when others think they are thin
Food dominates life

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3
Q

What is anorexia nervosa?

A

Restriction of intake to reduce weight

Relies on compensatory behaviours when food cannot be avoided

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4
Q

What are some compensatory behaviours used in anorexia nervosa?

A

Self induced vomiting
Laxative abuse
Abuse of appetite suppressants/diuretics
Excessive exercise

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5
Q

What are the risk factors for anorexia nervosa?

A 
Female
Adolescence and puberty 
Dieting, non deliberate weight loss 
Increased exercise
Stressful life event
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6
Q

What are some clinical features of anorexia nervosa?

A 
Fear of weight gain
Body checking
Cold intolerant 
Constiation and bloating 
Amenorrhoea
Dry skin
Fainting
Hypotension, Bradycardia
Scalp hair loss 
Weakness, fatigue
Osteopenia, osteoporosis
Short stature, delayed puberty
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7
Q

How is anorexia nervosa diagnosed?

A

Restriction of intake relative to requirements leading to significantly low body weight in context
Intense fear of gaining weight or becoming fat
Body dysmorphia

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8
Q

What is the management of anorexia nervosa in children?

A

Physical

  • Structured eating plan with oral/enteral/parenteral nutritional
  • Careful monitoring of fluids and electrolytes
    1. Anorexia focused family therapy
    2. CBT
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9
Q

What is the management of anorexia nervosa in adults?

A

Physical

  • Structured eating plan with oral/enteral/parenteral nutritional
  • Careful monitoring of fluids and electrolytes
    1. Eating disorder focused CBT
    2. Add SSRI or olanzapine
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10
Q

What are some complications of anorexia?

A 
Heart damage 
Reduced immunity
Osteopenia and osteoporosis
Fertility issues
Slowed development 
Seizures and arrythmias- vomiting and laxative aduse 
Refeeding syndrome
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11
Q

What is refeeding syndrome?

A

Severe fluid and electrolyte shifts and related metavbolic complications in malnourished patients undergoing refeeding

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12
Q

What causes refeeding syndrome?

A

Primarily due to phosphate depletion, caused by shift intracellularly to produce ATP
Prescribe Pabrinex with refeeding

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13
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
>1 episode a week for 3 months

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14
Q

What is purging type behaviour?

A

Self induced vomiting

Laxative or diuretics abuse

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15
Q

What is non purging behaviour?

A

Excessive exercise
Fasting
Strict diet

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16
Q

What are the risk factors for bulimia nervosa?

A 
Female 
20-35yo
Childhood obesity 
Early onset puberty 
FH mental health problems 
Impulsivity
17
Q

What are th clinical features of bulimia nervosa?

A 
Body checking
Dissatisfaction with weight and body shape
Dental issues, Swollen parotids, Mouth sores 
Pharyngeal trauma, Oestophageal rupture 
Russel's sign
Bloody diarrhoea
Muscle cramps
Fatigue, weakness 
Fainting
Hypotesion
18
Q

What is Russel’s sign?

A

Teeth marks on knuckles

19
Q

How is bulimia diagnosed?

A

Recurrent episodes of binge eating, associated with lack of control
Recurrent inappropriate compensatory behaviour
At least once a week for 3 months

20
Q

What is the management of bulimia nervosa in adults?

A

Nutritional and meal support

  1. CBT
  2. Add SSRI/SNRI or use as firstling where CBT not appropriate/available
21
Q

What is the management of bulimia nervosa in children?

A

Nutritional and meal support

Bulimia nervosa focused family therapy

22
Q

What are some complications of bulimia?

A 
Volume depletion
Electrolyte abnormalities 
Seizures, arrythmias
Heart damage 
Fertility issues
Dental issues

Psych AM (14 decks)

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