Feeding or Eating Disorders (Pearls) Flashcards
What condition do you suspect in a patient who has episodes of mass eating followed by self inducing vomiting or intense exercise?
Bulimia
What is the key difference between binge eating and bulimia nervosa?
there is no weight loss effort in binge eating
Which of the eating disorders is often associated with erosion of the tooth enamel
bulimia due to the frequent self-induced vomiting
What condition do you suspect in a patient who refuses to eat due to fear of being overweight?
Anorexia nervosa
Which of the three eating disorders has the highest suicide rate?
Anorexia nervosa
Of the three eating disorders, which one is commonly treated with SSRIs?
Bulimia
Which eating disorder is commonly associated with mitral valve prolapse, pericardial effusion, and myocardial atrophy
Anorexia nervosa
episodes of eating large amounts of food for at least 2 days a week for 6 months in an overweight patient ?
binge eating disorder
Weight less than _____ of ideal body weight would be anorexia nervosa?
85%
How can you distinguish between anorexia nervosa and bulimia nervosa?
by body mass index <17 or bodyweight <85% of ideal body weight
When would you hospitalize someone with anorexia nervosa?
if weight is < 75% expected body weight
Main treatment for anorexia nervosa?
restore nutritional state
Have SSRIs been proven to be effective in anorexia nervosa?
no they have not
a 14-year-old is female who is brought to your clinic by her mother who claims to hear the child vomiting after dinner in the evenings. The patient reportedly denies vomiting and feels fine. On physical exam, you notice petechial hemorrhages of the soft palate and conjunctiva. Further exam reveals scars on her knuckles, swollen parotid glands, dental erosions. Her weight is normal. Lab tests reveal hypochloremia and hypokalemia.
This patient suffers from what?
Bulimia nervosa
What condition can arise from someone frequently causing themselves to throw up?
metabolic alkalosis
