Feeding/Eating Disorders Flashcards
This is the condition of eating nonutritive, nonfood substances over a period of at least 1 month, where you eat things like paper, soap, cloth, hair, string, wool, soil, chalk, talcum power, paint, gum, metal, pebbles, charcoal or coal, ash, starch, or ice.
Pica
This is the process of repeatedly regurgitating food, re-chewing it, and re-swallowing it.
aka “the food encore”
Rumination disorder
Generally, this is a “feeding disturbance” where there is significant weight loss, significant nutritional deficiency, dependence of enternal feeding or nutritional supplements, and a marked interference with psychosocial functioning.
Avoidant/Restrictive food intake disorder
This is the condition of excessive dieting +/- purging, intense fear of gaining weight, body image distortion, ↑ excercise, possible amenorrhea, and electrolyte disturbances.
Anorexia nervosa
Fill in the following BMI’s for the classification of anorexia severity:
Mild
Moderate
Severe
Extreme
Mild: 17 kg/m2
Moderate: 16-.16.99
Severe: 15-15.99
Extreme: <15
This the process of eating a ton of food within a 2-hour period with a sense of lack of control over eating during the episode.
Chipotle disorder
aka “Binge eating”
This is the condition of binge eating +/- purging, often followed by self-induced vomiting or use of laxatives, diuretics, or emetics, and body is maintained within a NORMAL range.
Bulemia nervosa
What will you find in the cheeks on physical exam in Bulemia nervosa?
Parotidits
What will you find in the teeth on physical exam in Bulemia nervosa?
Enamel erosion
What will you find in the hands on physical exam in Bulemia nervosa?
Calluses on the dorsal hands from teeth scraping on it because of self-induced vomiting. (Russell’s sign)
How many episodes/week of the binging/purging must you have to be diagnosed with the following severities?
Mild
Moderate
Severe
Extreme
Mild: 1-3
Moderate: 4-7
Severe: 8-13
Extreme: >14
This is the disorder where there is recurrent episodes of binge eating for at least 3 months, and eating more rapidly, until you’re uncomfortable, even if you’re not hungry, alone, and feeling disgusted with yourself.
Binge-Eating Disorder
“the cookie monster of all food”
What does the S in the SCOFF questionnaire ask to rule in an eating disorder?
Do you make yourself feel SICK because you feel unconfortably full?
What does the C in the SCOFF questionnaire ask to rule in an eating disorder?
Do you worry you have lost CONTROL over how much you eat?
What does the O in the SCOFF questionnaire ask to rule in an eating disorder?
Have you recently lost more than ONE stone in a 3mo period?
1 stone = 14 lbs
What does the first F in the SCOFF questionnaire ask to rule in an eating disorder?
Do you think you FAT?
What does the second F in the SCOFF questionnaire ask to rule in an eating disorder?
Would you say that FOOD dominates your life?
How many of the SCOFF questions must a pt answer “yes” to be diagnosed with an eating disorder?
At least 3
What does the ESP acronym stand for to rule in an eating disorder if there is >3 “Yes” answers?
Satisfied with EATING?
Eat in SECRET?
Ever had an eating disorder in the PAST?
Which disorder will have chachexia, dry skin, lanugo, enlarged salivary glands, anemia, elevated amylase, U waves, and other EKG pathologies?
Anorexia nervosa
Which disorder will have elevated amylase, possible hypoK/Mg, dental carries, acute gastric dilatation, cardiomyopathy, and possible laxative dependency?
Bulimia nervosa
If a pt presents with weight less than 85% of avg body weight, dehydration, hypoTN (
Hospitalize them
What is the first line drug for Bullemia?
SSRI (esp fluoxetine, which can reduce binge eating and vomiting)
