Nutrient utilization Flashcards

Question

Anorexia N, restricting type

Answer 1

During last 3 mo, individual has not engaged in recurrent episodes of binge eating/purging Weight loss primarily due to dieting, fasting, and/or excessive exercise

Answer 2

During last 3mo, individual has engaged in recurrent episodes of binge eating/purging

Answer 3

early to mid adolescence common, but can occur at any age even in childhood Primarily seen in girls, but boys are seen more frequently in childhood year

Answer 4

shape is more of an issue than weight concern around preventing development of a flabby shape exercise predominates small number, but increasing

Answer 5

``` Binge eating + extreme wt loss compensatory behaviours (purging/laxative/diuretic, fasting, exercise) at least once a week for 3 mo self evaluation unduly influenced by body shape + wt can be normal or overweight salivary gland enlargement enamel erosion esophagitis arrhythmias blood abnormalities (electrolytes, amylase, etc) finger/back of hand may have callus diarrhea/constipation edema in ankle ```

Answer 6

Later adolescence and young adulthood

Answer 7

full criteria was met, but currently no longer fully meets all criteria

Answer 8

full criteria was met, but now none of criteria has been met for a sustained period of time

Answer 9

regular/sustained binge eating episode | characterized by both eating in a discrete period of time and a sense of lack of control over eating during episode

Answer 10

young adulthood/midlife disorder | more even gender distribution

Answer 11

ARFID new category is like anorexia nervosa except without body image disturbance or weight/shape overvaluation

Answer 12

OSFED, UFED, new terminology Atypical anorexia nervosa: BMI normal Purge disorder: sub-threshold forms of Bulimia Nervosa + binge eating disorder on basis of insufficient frequency or duration of ED behaviours

Answer 13

``` can't think right fear of gaining weight sad, moody, irritable poor memory fainting changes in brain chemistry ```

Answer 14

``` thin and brittle hair weak muscles, swollen joints, fractures, osteoporosis easy bruising, dry skin growth of fine hair all over body cold intolerance yellow skin brittle nails ```

Answer 15

``` Anemia low BP slow HR palpitations heart failure ```

Answer 16

Low K, Mg, Na

Answer 17

constipation bloating kidney stones kidney failure

Answer 18

``` Amenorrhea bone loss problems growing infertility higher risk for miscarriage higher risk for C-section baby with low birth weight post-partum depression ```

Answer 19

``` depression fear of gaining weight anxiety dizziness shame low self esteem fatigue ```

Answer 20

Cheek swelling, soreness Mouth: cavities, tooth enamel erosion, gum disease, sensitive teeth Throat: sore, irritated, can tear and rupture, blood in vomit Abrasion of knuckles, dry skin

Answer 21

``` Arrhythmia heart muscle weakened heart failure low pulse low BP anemia, fatigue ```

Answer 22

``` Problems from diuretic abuse Dehydration, low K, Mg, Na Ulcers, pain, can rupture, delayed stomach emptying Constipation irregular BM bloating, diarrhea, cramping ```

Answer 23

irregular/absent period

Answer 24

Most changes are reversible EXCEPT: - bone density after a certain age - growth stunting - catch up growth can sometimes occur but may not be enough - brain changes not completely reversible, but consequences unknown - enamel erosion

Answer 25

Physiological instability: - postural hypotension - >20 mm Hg systolic - resting bradycardia

Answer 26

Growth arrest and pubertal delay with poor weight gain in outpatient tx (esp for younger adolescents) failure of outpatient tx patient/parent not coping at home lack of local services

Answer 27

Refeeding syndrome can happen in severely malnourished patients True phosphate deficiency manifests after 2-3 d of adequate nutrition Requires close observation, regular blood tests and ECGs with phosphate tx, monitoring

Answer 28

Correct existing deficiencies, including fluid Correct vol depletion, check renal function measure K, Phosphorus, Mg daily, correct deficiencies Calories: start where the intake is, increase q2-3d until at least 2000cal/D or more MONITOR!