Oct 1 - Feeding and Eating Disorders Flashcards

1
Q

What physical exam findings are consistent with feeding and eating disorders?

A

lanugo (excess body hair growth for warmth), poor dentition, brittle, thin nails, amenorrhea

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2
Q

What cardiovascular findings are consistent with feeding and eating disorders?

A

Bradycardia, arrhythmia, hypotension

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3
Q

Describe the diagnostic criteria for pica. (3 parameters)

A
  1. Patient must be > 2 y/o
  2. Eats substances with no nutritive value
  3. Symptoms present for 1+ month
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4
Q

Describe the diagnostic criteria for rumination disorder.

A

Effortless regurgitation of food not resulting from medical disorder several times/week for 1+ month

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5
Q

Describe the diagnostic criteria for avoidant/restrictive food intake disorder.

A

Lack of interest in eating food

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6
Q

Describe the diagnostic criteria for anorexia nervosa.

A
  1. restriction of food leads to low body weight
  2. fear of overweight
  3. behaviors to avoid weight gain
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7
Q

Describe the diagnostic criteria for bulimia nervosa.

A

Recurrent binge eating and purging 1+ times per week for 3+ months

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8
Q

Describe the diagnostic criteria for binge eating disorder.

A

Recurrent binge eating followed by 3 of:
1. eating faster than normal
2. eating until uncomfortable
3. Eating a lot despite lack of hunger
4. Eating alone s/p embarrassment
5. Feeling guilty or depressed after eating
Above must be present 1+ x/week for 3+onths

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9
Q

List 2 reasons someone may develop avoidant/restrictive food intake disorder.

A
  1. may be from sensory aspects of food

2. may be irrational fear of vomiting, choking, etc.

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10
Q

List 2 reasons someone may develop avoidant/restrictive food intake disorder.

A
  1. may be from sensory aspects of food

2. may be irrational fear of vomiting, choking, etc.

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11
Q

What conditions may result from avoidant/restrictive food intake disorder?

A

weight loss, children failing to meet expected weight, nutritional deficiency

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12
Q

What conditions may result from avoidant/restrictive food intake disorder?

A

weight loss, children failing to meet expected weight, nutritional deficiency

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13
Q

List four items that may be confused with avoidant/restrictive food intake disorder.

A

Lack of food, social/cultural issue, exclusively anorexia or bulimia, disturbance in body image perception

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14
Q

List four items that may be confused with avoidant/restrictive food intake disorder.

A

Lack of food, social/cultural issue, exclusively anorexia or bulimia, disturbance in body image perception

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15
Q

List and describe two types of anorexia nervosa.

A

Restricting: no binging/purging in previous 3 months. Weight loss by dieting, fasting, excessive exercise
Binging/Purging: weight loss by binging/purging (vomiting, laxatives, diuretics) in previous 3 months

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16
Q

What primarily differentiates anorexia nervosa from bulimia nervosa?

A

Anorexia involves 15% or more weight loss while bulimics maintain near ideal body weight.

17
Q

What physical exam findings are consistent with bulimia nervosa?

A

dental erosion, palatal erosion, puffy cheeks

18
Q

What is the ideal plan for managing pica?

A

remove harmful substance and treat root cause

19
Q

What is the ideal plan for managing rumination?

A
  1. Patient education
  2. Treat any psychological comorbidities
  3. Behavior modification - diaphragmatic breathing
  4. Baclofen - muscle relaxant
20
Q

What is the ideal plan for managing avoidant/restrictive?

A

CBT (has limited evidence)

21
Q

What is the ideal plan for managing anorexia nervosa?

A
  1. Nutritional Rehab - slowly reintroduce nutrients

2. Psychotherapy - family therapy, CBT, motivational interviewing

22
Q

What is the ideal plan for managing bulimia nervosa?

A

Nutritional therapy, CBT, fluoxetine (prozac)

23
Q

What is the ideal plan for managing binge eating disorder?

A

CBT