Eating Disorders ILA Flashcards
weight less than minimum normal range for age and height
fear of gaining weight
most common in young females
absent periods
anorexia
recurrent episodes of binge eating
throwing up or laxative use to prevent weight gain
normal weight
has periods but could be irregular
bulimia
recurrent episodes of eating large amount of food in brief period w/ sense of loss of control and marked distress
binge eating disorder
SCOFF questionare
ask about eating practices
BMI measurement
screening for eating disorders
FH
social (“visual sports”)
low self esteem
abuse
risk factors for eating disorders
lethargy
dizziness
hair loss
lanugo hair
injuries
dental erosions and caries
parotid inflammation
russell sign
signs of eating disorder
signs of eating disorder
signs of eating disorder
workup for suspicion of eating disorder
physical
ECG
CBC
CMP
semi starvation or malnutrition
anorexia
2 types of anorexia nervosa:
binge-eating/purging type
restricting type
self-induced vomiting or the misuse of laxatives, diuretics, or enemas
purging type of bulimia
the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
nonpurging type of bulimia
Dx eating disorder
hx
DSM 4-5 criteria
psychiatric eval
Bulimia nervosa
characterized by frequent episodes (≥1 per week) of binge eating followed by inappropriate compensatory behaviors (self-induced vomiting or misuse of laxatives, diuretics, and enemas) due to fear of weight gain
bulimia nervosa
Nutritional restoration can almost always be successfully accomplished by oral feeding
Calories can then be gradually increased to achieve a weight gain of 1–2 kg (2–4 lb) per week, (typically requiring an intake of 3000–4000 kcal/d.)
Rx eating disorders
antidepressants indicated in bulimia
Fluoxetine
____ not indicated in anorexia until weight is restored
antidepressants
Imipramine
Topiramate
SSRI (sertraline, citalopram)
Rx binge eating disorder
Hypophosphatemia results in 12-72 hours post re-feeding
life threatening
refeeding syndrome
decreased serum K+
decreased serum phosphorus
edema
refeeding syndrome
highest mortality of any mental illness
anorexia
best thing to do to prevent/treat eating disorder
early identification
