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Psychiatry > Eating Disorders- Anorexia Nervosa > Flashcards

Eating Disorders- Anorexia Nervosa Flashcards

1
Q

What are the 3 main types of eating disorders?

A

Anorexia nervosa
Bulimia Nervosa
Binge eating

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2
Q

What is Anorexia nervosa?

A

A psychological disorder, in which there is a relentless pursuit of thinness.

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3
Q

How does a person with anorexia nervosa view themselves?

A

Overweight despite evidence of normal or low body weight

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4
Q

What is the classification for anorexia nervosa?

A
  • BMI of 17.5 or less

* 15% below the ideal body weight

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5
Q

What methods do people with anorexia nervosa use to reduce weight?

A
  • Restricting calorie intake
  • Over-exercise
  • Use of laxatives or diuretics
  • Vomiting
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6
Q

What is the criteria for the diagnosis of anorexia nervosa?

A
  1. Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
  2. Intense fear of gaining weight or becoming fat, even though underweight.
  3. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
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7
Q

What are the physical presentations of anorexia nervosa?

A
  • Low BMI
  • Hypotension
  • Bradycardia
  • Enlarged salivary glands
  • Lanugo hair (fine hair covering the skin)
  • Amenorrhoea
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8
Q

What are the biochemical presentations in anorexia nervosa?

A
  • Hypokalaemia
  • Low sex hormone levels (FSH, LH, oestrogen and testosterone)
  • Raised growth hormone and cortisol levels
  • Hypercholesterolaemia
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9
Q

What scan should you always do on someone when admitted with anorexia nervosa?

A

ECG

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10
Q

Why should you do an ECG in someone with anorexia nervosa?

A

They are at risk of prolonged QT syndrome which can cause ventricular fibrillation

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11
Q

What is the name of the questionnaire used on anorexic patients?

A

SCOFF questionnaire

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12
Q

What symptoms might present in a young person with anorexia nervosa?

A

Failure of development of secondary sexual characteristics

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13
Q

What is a major complication that can occur when treating a patient with anorexia nervosa?

A

Refeeding syndrome

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14
Q

What are the symptoms of refeeding syndrome

?

A

Oedema
Confusion
Tachycardia

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15
Q

What metabolic disturbances occur with refeeding syndrome?

A

Low potassium
Low Magnesium
Low phosphate

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16
Q

What is the management of refeeding syndrome?

A

Potassium supplementation

17
Q

What are alternative managements for adults with anorexia nervosa?

A

Maudsley Anorexia Nervosa Treatment for Adults (MANTRA)

Specialist supportive clinical management (SSCM).

18
Q

What is the first line management of anorexia nervosa in children?

A

Anorexia focused family therapy’

19
Q

What is the first line management of anorexia nervosa in adults?

A

Individual eating-disorder-focused cognitive behavioural therapy (CBT-ED)

20
Q

What is the second line management of anorexia nervosa in children?

A

CBT

21
Q

What does the S in the SCOFF questionnaire stand for?

A

Do you make yourself SICK because you feel uncomfortably full?

22
Q

What does the C in the SCOFF questionnaire stand for?

A

Do you worry that you have lost CONTROL over how much you eat?

23
Q

What does the O in the SCOFF questionnaire stand for?

A

Have you recently lost more than ONE stone in a 3 month period?

24
Q

What does the F in the SCOFF questionnaire stand for?

A

Do you believe yourself to be FAT when others say that you are too thin?

25
Q

What does the F in the SCOFF questionnaire stand for?

A

Would you say that FOOD dominates your life?

26
Q

What is raised in anorexia nervosa?

A

G’s and C’s are raised

27
Q

What are the G’s and C’s that are raised in anorexia nervosa?

A 
Growth hormone
Glucose
Salivary gland
Cortisol
Cholesterol
Carotenaemia
28
Q

How does hypercarotenaemia present?

A

Yellow/ orange pigment to the skin

Psychiatry (28 decks)

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