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Psychiatry > Eating disorders > Flashcards

Eating disorders Flashcards

1
Q

Is anorexia nervosa in adolescence greater or lesser than T1D and IBD?

A

Greater

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2
Q

When is peak onset of mental illness?

A

Mid-teens to mid-twenties

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3
Q

What is the SCOFF questionnaire?

A

2 or more positives then ED is likely

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 more than One stone (14 pounds or 6.35 kg) in a three month period?
Do you believe yourself to be Fat when others say you are too thin?
Would you say that Food dominates your life?

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4
Q

How does F50.0 anorexia nervosa present?

A

Restriction of intake to lose weight
Compulsory compensatory behaviours when food cannot be tolerated
Fear of weight gain
Loss of secondary sexual characteristics such as amenorrhoea

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5
Q

What are some compulsory compensatory behaviours in anorexia nervosa?

A

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

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6
Q

Can anorexia nervosa trigger cold intolerance?

A

Yes

May show blue hands or feet

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7
Q

How might Anorexia nervosa affect GI symptoms?

A

Bloating

Constipation

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8
Q

Can anorexia nervosa affect CV function?

A

Yes

Hypotension

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9
Q

What effect may anorexia nervosa have on puberty?

A

Delay

Primary or secondary amenorrhea

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10
Q

What effects may anorexia nervosa have on hair/scalp?

A

Lanugo hair

Scalp hair loss

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11
Q

What are some MSK effects of anorexia nervosa?

A 
Short stature
Osteopenia
Osteoporosis
Weakness
Fatigue
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12
Q

What is F50.2 bulimia nervosa?

A

Episodes of binge eating with a sense of loss of control

Followed by compensatory purging or non-purging behaviour

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13
Q

What are some examples of purging behaviours?

A

Self-induced vomiting
Laxative abuse
Diuretic abuse

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14
Q

What are some non-purging behaviours seen in bulimia nervosa?

A

Excessive exercise
Fasting
Strict diets

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15
Q

How does bulimia nervosa present?

A

Binges and the resulting compensatory behaviour must occur a minimum of two times per week for three months
Dissatisfaction with body shape and weight

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16
Q

What are some GI tract signs and symptoms of bulimia nervosa?

A 
Mouth sore
Dental caries
Pharyngeal trauma
Oesophageal rupture
Bloody diarrhoea
Heartburn/chest pain
17
Q

What are some behavioural/social changes seen in bulimia nervosa?

A

Impulsivity
E.g. stealing, drug abuse
Unable to interpret emotion

18
Q

What are some MSK symptoms of bulimia nervosa?

A

Muscle cramps

Weakness

19
Q

Can bulimia nervosa cause any CV symptoms?

A

Chest pain
Fainting
Hypotension

20
Q

What is binge eating disorder?

A

Similar to bulimia nervosa

Absence of purging behaviours

21
Q

What are some psychological consequences of eating disorders?

A

Malnourished brains experience depression, anxiety, obsessionality and loss of concentration on anything but food
Depression at low weight rarely responds to medication
Failure to develop other ways to cope

22
Q

How do ED’s affect neurochemical balance?

A

Massive disruption especially affecting the brain (seizure) and heart (arrhythmia)
Potassium is one measure

23
Q

What are some genetic predispositions to anorexia?

A

OCD
Anxiety
Perfectionism

24
Q

What are some causes of precipitating factors of anorexia?

A

Genetic predisposition
Perinatal factors
Puberty
Stressful life events

25
Q

What are some perpetuating factors in anorexia?

A

Delayed gastric emptying and narrowing focus from starvation syndrome result in feeling fat (when actually just full) and focussing solely on food above all else
Obsessionality and body checking only increase concern

26
Q

How is AN managed?

A 
Re-feeding
CBT
IPT
Fluoxetine 60mg daily
Olanzapine
27
Q

What is re-feeding?

A

Medical/dietician led approach to re-introducing a normal diet very gradually

28
Q

How do we treat AN with drugs?

A

Not really any direct medication
Can treat side effects like depression
Supplement vitamins

29
Q

What is the first line treatment in BN or AN under the age of 21?

A

Family therapy

CBT

30
Q

What is the first line treatment in BN or AN over the age of 21?

A

CBT

IPT

31
Q

What is Lanugo?

A

Thin downy hair usually present on babies

People who are malnourished may grow this hair on their face and body later in life

32
Q

What is Russell’s sign?

A

Patients inducing vomiting a lot may have callouses on backs of hands

33
Q

What is the bio-psycho-social model?

A

Framework for psych treatments involving biological, psychological and social treatments

Psychiatry (18 decks)

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