Feeding/Eating Disorders Flashcards

1
Q

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.

A

Pica

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2
Q

This is the process of repeatedly regurgitating food, re-chewing it, and re-swallowing it.

aka “the food encore”

A

Rumination disorder

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3
Q

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.

A

Avoidant/Restrictive food intake disorder

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4
Q

This is the condition of excessive dieting +/- purging, intense fear of gaining weight, body image distortion, ↑ excercise, possible amenorrhea, and electrolyte disturbances.

A

Anorexia nervosa

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5
Q

Fill in the following BMI’s for the classification of anorexia severity:

Mild
Moderate
Severe
Extreme

A

Mild: 17 kg/m2
Moderate: 16-.16.99
Severe: 15-15.99
Extreme: <15

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6
Q

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.

A

Chipotle disorder

aka “Binge eating”

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7
Q

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.

A

Bulemia nervosa

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8
Q

What will you find in the cheeks on physical exam in Bulemia nervosa?

A

Parotidits

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9
Q

What will you find in the teeth on physical exam in Bulemia nervosa?

A

Enamel erosion

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10
Q

What will you find in the hands on physical exam in Bulemia nervosa?

A

Calluses on the dorsal hands from teeth scraping on it because of self-induced vomiting. (Russell’s sign)

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11
Q

How many episodes/week of the binging/purging must you have to be diagnosed with the following severities?

Mild
Moderate
Severe
Extreme

A

Mild: 1-3
Moderate: 4-7
Severe: 8-13
Extreme: >14

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12
Q

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.

A

Binge-Eating Disorder

“the cookie monster of all food”

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13
Q

What does the S in the SCOFF questionnaire ask to rule in an eating disorder?

A

Do you make yourself feel SICK because you feel unconfortably full?

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14
Q

What does the C in the SCOFF questionnaire ask to rule in an eating disorder?

A

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

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15
Q

What does the O in the SCOFF questionnaire ask to rule in an eating disorder?

A

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

1 stone = 14 lbs

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16
Q

What does the first F in the SCOFF questionnaire ask to rule in an eating disorder?

A

Do you think you FAT?

17
Q

What does the second F in the SCOFF questionnaire ask to rule in an eating disorder?

A

Would you say that FOOD dominates your life?

18
Q

How many of the SCOFF questions must a pt answer “yes” to be diagnosed with an eating disorder?

A

At least 3

19
Q

What does the ESP acronym stand for to rule in an eating disorder if there is >3 “Yes” answers?

A

Satisfied with EATING?
Eat in SECRET?
Ever had an eating disorder in the PAST?

20
Q

Which disorder will have chachexia, dry skin, lanugo, enlarged salivary glands, anemia, elevated amylase, U waves, and other EKG pathologies?

A

Anorexia nervosa

21
Q

Which disorder will have elevated amylase, possible hypoK/Mg, dental carries, acute gastric dilatation, cardiomyopathy, and possible laxative dependency?

A

Bulimia nervosa

22
Q

If a pt presents with weight less than 85% of avg body weight, dehydration, hypoTN (

A

Hospitalize them

23
Q

What is the first line drug for Bullemia?

A

SSRI (esp fluoxetine, which can reduce binge eating and vomiting)