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DSM5 > Feeding and Elimination disorders > Flashcards

Feeding and Elimination disorders Flashcards

1
Q

diagnostic criteria for pica

A

-eating nonfood items for at least 1 month
-inappropriate to developmental level
-not part of culture

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2
Q

how old does someone have to be before they can be dx with pica

A

at least 2

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3
Q

what are some things that can be associated with the development of pica

A

lack of food availability
vitamin deficiencies

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4
Q

pica manifestation during pregnancy

A

may manifest when specific cravings occur but is only diagnosed if severe enough to cause possible medical complications

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5
Q

most common pica comorbidities

A

autism
intellectual disability

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6
Q

what other disorders might pica be associated with

A

-trichotillomania
-excoriation disorder
-avoidant/restrictive food disorder

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7
Q

what should be included in pica assessment

A

possible GI complications
poisoning
infection
nutritional deficiency

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8
Q

definition of rumination disorder

A

repeated food regurgitation over a period of at least one month that is not attributed to GI or other medical condition

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9
Q

what excludes a dx of rumination disorder

A

if it occurs exclusively in the course of anorexia, bulimia, binge-eating, or avoidant/restrictive food intake disorder

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10
Q

how is rumination disorder manifested in infants

A

may strain and arch back while making sucking movements with tongue to promote regurgitation

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11
Q

diagnostic criteria for avoidant/restrictive food intake disorder

A

-feeding/eating disturbance presenting with at least one additional manifestation

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12
Q

4 additional manifestations of avoidant/restriction food intake disorder, of which, one has to be present

A

-significant weight loss/failure to make weight gains
-significant nutritional deficiency
-dependence on enteral feeding/nutritional supplements
-marked interference with psychosocial functioning

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13
Q

tempermental risk factors for avoidant/restrictive food intake disorder

A

presence of comorbid anxiety, autism, OCD, ADHD

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14
Q

environmental risk factors for avoidant/restrictive food intake disorder

A

family anxiety
mother’s with eating disorders

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15
Q

diagnostic criteria for anorexia nervosa

A

-restriction of food that results in significantly low body weight
-persistent fear of getting fat or persistent behavior to interfere with gaining weight
-disturbance in the way body weight/shape is experienced
-excessive self-judgement
-lack of recognition of seriousness

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16
Q

type specifiers for anorexia

A

restricting type
binge eating/purging type

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17
Q

severity specifiers for anorexia

A

mild: BMI17 or higher
moderate: BMI 16-16.99
severe: BMI 15-15.99
profound: BMI <15

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18
Q

physical sx r/t starvation that may be associated with anorexia

A

amenorrhea
VS instability
irreversible bone mineral density loss

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19
Q

typical onset of anorexia

A

adolescence

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20
Q

hematological lab abnormalities in anorexia

A

-leukopenia
-mild anemia
-bleeding problems (rare)

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21
Q

serum chemistry abnormalities with anorexia

A

-elevated BUN d/t dehydration
-hypercholesterolemia
-elevated hepatic enzymes
-hypomagnesemia
-hypokalemia from vomiting
-metabolic alkalosis or acidosis

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22
Q

endocrine lab abnormalities with anorexia

A

low normal T4
decreased T3
low estrogen in females
low testosterone in males

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23
Q

common ECG abnormalities with anorexia

A

sinus bradycardia
may have significant QTc prolongation

24
Q

most common anorexia comorbidities

A

bipolar
depression
anxiety

25
Q

diagnostic criteria for bulimia

A

-recurrent binge/purge episodes
-behaviors to avoid gaining weight
-at least weekly x 3 months
-self-evaluation r/t weight
-does not occur only during anorexia

26
Q

what has to be present to meet criteria for a binge/purge episode

A

-eating more food than normal in a short period of time (within 2 hours)
-sense of lack of control over eating

27
Q

severity specifiers for bulimia

A

mild: 1-3 episodes weekly
moderate: 4-7 episodes weekly
severe: 8-13 episodes weekly
profound: 14+ episodes weekly

28
Q

forms of purging

A

vomiting
laxatives
diuretics
enemas

29
Q

onset of bulimia

A

typically adolescence

30
Q

possible fluid/electrolyte imbalances in bulimia

A

hypokalemia
hypochloremia
hyponatremia

31
Q

what causes metabolic alkalosis in bulimia

A

loss of gastric acid from vomiting
(elevated bicarb)

32
Q

what can cause metabolic acidosis in bulimia

A

frequent laxative/diuretic use

33
Q

other physical findings in bulimia

A

loss of dental enamel
enlarged salivary glands (particularly parotid)

34
Q

diagnostic criteria for binge eating disorder

A

recurrent episodes of binge eating associated with at least 3 other manifestations occurring at least weekly x3 months and not associated with purging

35
Q

criteria for binge eating episode

A

eating more than normal in a short periods (within 2 hours)
sense of lack of control over eating

36
Q

5 additional manifestations of binge eating disorder (must have 3)

A

-eating faster than normal
-eating until uncomfortably full
-eating a lot when not hungry
-eating alone because of embarassment
-feeling disgusted, depressed, guilty afterwards

37
Q

severity specifiers for binge eating disorder

A

mild: 1-3 episodes weekly
moderate: 4-7 episodes weekly
severe: 8-13 episodes weekly
profound: 14+ episodes weekly

38
Q

types of other specified feeding or eating disorders

A

-atypical anorexia nervosa
-bulimia w/ low frequency and/or limited duration
-binge eating of low frequency and/or limited duration
-purging disorder
-night eating syndrome

39
Q

atypical anorexia nervosa

A

criteria for anorexia met except weight is still ok

40
Q

bulimia with low frequency and/or limited duration

A

criteria met except episodes are not frequent enough

41
Q

binge eating of low frequency and/or limited duration

A

criteria is met except episodes aren’t frequent enough

42
Q

purging disorder

A

purging in the absence of binge eating

43
Q

night eating syndrome

A

-eating after being asleep or excessive food consumption after evening meal
-awareness and recall of eating
-causes significant distress
-not better explained by another disorders

44
Q

diagnostic criteria for enuresis

A

-repeated wetting that is clinically significant

45
Q

what makes enuresis clinically significant

A

at least twice weekly x3 months
OR
clinically significant distress

46
Q

how old do you have to be to get a dx of enuresis

A

at least 5

47
Q

specifiers for enuresis

A

nocturnal only
diurnal only
nocturnal and diurnal

48
Q

is enuresis involuntary or intentional

A

can be either

49
Q

primary enuresis

A

urinary continence was never established

50
Q

secondary enuresis

A

incontinence after an established period of continence

51
Q

diagnostic criteria for encopresis

A

repeated bowel incontinence at least monthly x3 months not attributable to medication or a medical condition

52
Q

age for dx of encopresis

A

chronological/developmental age at least 4

53
Q

specifiers for encopresis

A

-with constipation and overflow incontinence
-without constipation and overflow incontinence

54
Q

encopresis with constipation and overflow incontinence

A

stools are poorly formed and there may be intermittent or continuous leakage

55
Q

is encopresis involuntary or intentional

A

can be either

56
Q

encopresis most commonly affects who

A

ages 4-6 and those who experience abuse/neglect

57
Q
A

DSM5 (18 decks)

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