W14_03 eating disorders in teens

Question 1

note: eating disorders is not about food or slimness

Answer 1

it’s about power, self-worth, and personal effectiveness

Question 2

define anorexia nervosa

Answer 2

intense fear of weight gain, so there’s restrictive eating/compensatory behaviours

Question 3

define bulimia nervosa

Answer 3

binge eating/purging (compensatory behaviours)

Question 4

note: diabetic teen girls are more likely to have an eating disorder and stop their insulin for weight loss than non-diabetics

Answer 4

ok

Question 5

define drunkorexics

Answer 5

subtract the calories they get from binge drinking from their daily recommended food intake and then go binge drink

Question 6

what percentage of people with anorexia nervosa die from it?

Answer 6

20 percent

Question 7

what’s the BMI for mild anorexia nervosa? Extreme anorexia nervosa?

Answer 7

< 17 mild;
<15 extreme;
note that adolescents should be charted on different BMI curves - 17 BMI may be normal in a teenage girl

Question 8

what’s lanugo?

Answer 8

fine hair babies are born with

Question 9

what’re signs of anorexia?

Answer 9

emaciation;
lanugo;
hypothermia;
starvation edema;
bradycardia;
cardiac arrhythmias;
evidence of osteoporosis;
cartenemia: vit A

Question 10

what are some compensatory behaviours of anorexics?

Answer 10

exercise;
vomiting;
laxatives;
diuretics;
stimulants;
thyroid replacement;
energy drinks

Question 11

what’s russell’s sign?

Answer 11

callouses on the knuckles of hands from putting fingers down throat

Question 12

what are some signs of anorexia?

Answer 12

russell’s sign;
dental enamel erosion;
parotid gland enlargement;
bloodshot eyes;
electrolyte changes

Question 13

what’s the athletic triad

Answer 13

anorexia nervosa;
amenorrhea;
osteoporosis

Question 14

what’s the SCOFF screening for eating disorders?

Answer 14

do you feel Sick from being uncomfortably full;
lost Control over portion size;
lost Over 15 pounds in 3 months;
do you feel Fat when others don’t think so;
does Food dominate your life

Question 15

note there’s a large DDx for sudden weight loss, that go in the list with anorexia

Answer 15

ok

Question 16

what’s the set point theory?

Answer 16

the body is biologically programmed to weigh a certain amount, and is buffered to something within 18-25

Question 17

what happens to Na, PO4, K, Mg during starvation?

Answer 17

Na goes up (causes edema);
PO4, K, Mg go down

Question 18

what are red flags of weight loss that are cause for admission to hospital?

Answer 18

bradycardia < 35.6 C