Eating disorders- Dr. Hill

Question 1

what is anorexia?

Answer 1

inability or refusal to maintain a minimally normal weight

• BMI of less than 18
• denial of current low body weight
• amenorrhea in postmenarchal females of at least 3 cycles

Question 2

what are the two subtypes of anorexia?

Answer 2

1. restricting- limiting food( extreme)

2. binge eating/purging- these patients will be underweight ( how you distinguish this from bulimia)

Question 3

what is the most common psychiatric disorder that occurs with anorexia?

Answer 3

OCD

Question 4

what are some views that anorexics have about themselves and their “diet”?

Answer 4

weight loss is a way to hapiness, sefl esteem based on weight, health is not a concern, becoming thin is the only concern

Question 5

what heart problems can anorexia lead to?

Answer 5

SVT, ventricular dysrythmias, long QT syndrome

Question 6

what else can anorexia lead to?

Answer 6

hypokalmeia and hypochloremic alkylosis with vomitting ( if purging)

Question 7

what are some HIGH YIELD things to look for on his test to Dx anorexia

Answer 7

dental enamal erosion, ENLARGED PAROTID GLANDS ( due to vomitting)

Question 8

which subtype has less chance of recovery?

Answer 8

restricting type

Question 9

what is mortality from anorexia due to?

Answer 9

more often suicide, can be complications of starvation

Question 10

what are some physical findings in anorexics?

Answer 10

odd eating habits ( combingin wierd foods), tired, irritable, socially withdrawn, depresed

Question 11

what is the First thing you you need to do in the treatment of anorexia?

Answer 11

replace electrolytes, SLOW tube feeding

KNOW THIS< HE STRESSED THIS

Question 12

what medical treatment ( pill) can you give to anorexics?

Answer 12

fluoxetine ( KNWO THIS)

can also do cognitive behavioral therapy

Question 13

are most bulemics underweight?

Answer 13

NO, they are normal weight or slightly overweight

Question 14

what is the definition of bulemia?

Answer 14

recurrent inappropriate compensatory behavior used to prevent weight gain, at least 2 times a week for 3 months

Question 15

what are the two types of bulemia?

Answer 15

purging- if they use self induced vomitting, laxatives, diuretics, or enemas
Non prging- if they fast, exercise excessively , withouth the above

Question 16

he talked about wrestlers and bodybuilders being bulemics, just know that

Answer 16

KNWO THIS

Question 17

what are some potentially life threatening complications of bulemia?

Answer 17

mallory weiss tears, PANCREATITIS, most deaths due to cardiac arrythmias

Question 18

if a patient has associated arrythmia during surgery, what should be on your differential?

Answer 18

bulemia

Question 19

what are some family history clues that someone could be bulimic?

Answer 19

depressive disorders, alcoholism, obesity

Question 20

what is a common disorder that can come with bulemics?

Answer 20

borderline

Question 21

KNWO PANCREATITIS IN BULIMICS

Answer 21

KNOW

Question 22

what is an FDA approved treatment for bulimia?

Answer 22

fluoxetine ( this is not FDA approved in anorexia, but still used )

Question 23

what medication should you NOT use in bulimics?

Answer 23

buproprion- KNOW THIS