Putinta- Feeding and Eating Disorders Flashcards
group of conditions by abnormal eating habit to detriment of an individual’s physical and mental health
eating disorder
Persistent eating of non-nutritive substances for a period of at least one month (paper, clay, sand, chalk, ice)
Pica
but in pregnant patients, eating ice commonly indicates what
anemia
Repeated regurgitation of food for a period of at least one month. Regurgitated food may be re-chewed, re-swallowed, or spit out
rumination disorder (cows are ruminants)
have preference for one specific type of food and they will only eat that food (like potato chips)
Avoidant/Restrictive food intake disorder (ARFID)
An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating
avoidant/restrictive food intake disorder
Highest suicide risk of any diagnosis in all of psychiatry
anorexia nervosa
distorted body image
excessive dieting
severe weight loss
fear of becoming fat
anorexia nervosa
Eat little and exercise vigorously. More often with obsessive-compulsive traits
restrictive type anorexia nervosa
Eat in binges followed by induced vomiting, laxatives, excessive exercise or diuretics. More with major depression and substance abuse
binge eating/purging type anorexia nervosa
underweight; but believe they are overweight in the mirror; fear of gaining weight
anorexia nervosa
amenorrhea
lanugo (fine body hair)
leukopenia
osteoporosis
anorexia nervosa
treat anorexia nervosa
1st stabilize weight, then gain weight (behavioral and family therapy)
An eating disorder which is characterized by recurrent binge eating, followed by compensatory behaviors such as
- vomiting
- use of laxatives or diuretics
- excessive exercise
bulimia nervosa
Patients are embarrassed of their binge eating
overly concerned with body weight HOWEVER, they usually maintain a normal weight or even overweight
bulimia nervosa
involve vomiting, enemas, diuretics w/ bulimia
purging type
involve excessive exercise or fasting w/ bulimia
non purging type
bulimia nervosa
Dental enamel erosion
Salivary glands hypertrophy (sialadenosis )
Callouses on knuckles (Russell’s sign)
Aspiration
bulimia nervosa
what works to treat bulimia nervosa but not anorexia nervosa
SSRIs (Fluoxetine)
works well for both bulimia and anorexia
therapy
An eating disorder characterized by periods of extreme over-eating, but here they DO NOT try to control their weight by purging or restricting calories as do anorexics or bulimics, so they usually are obese
binge-eating disorder
defined as excessive food intake within a 2-hour period accompanied by a sense of lack of control
binge-eating
binge eating
to treat binge-eating disorder
therapy
stimulants (for weight loss)