week 4.3 Flashcards
body dysmorphic disorder
Preoccupation with an imagined defect in appearance
eating disorder
Consistently above or below caloric needs to maintain a healthy weight
Without hunger, or fails to produce satiety
what is a neurobiological cause of eating disorders
Altered serotonin function, resulting in dysregulation of appetite, mood and impulse control
What are common comorbidities with eating disorders?
depression and anxiety
Binging purging – alcohol/substance-abuse
Bulimia – MDD, personality disorder, substances
anorexia nervosa
Intense fear of gaining weight
Severely distorted body image
Restriction of calories
What’s the difference between restricting and binging and purging?
binging and purging are self induced vomiting, or misuse of medication’s to lose weight
Restricting does not engage in binging are purging, but uses diet and exercise to lose weight
sx AN
Low body weight less than 15%
Amenorrhea
lanugo
Decreased bone density
Constipation
Decreased BP,HR and temp
Peripheral edema
what kind of people are at risk of developing AN
females
Adolescence, young adults
Athletes
LGBTQ
egosyntonic disorder
Believing that benefits outweigh the harm
risk factors of AN
Females
Family history
History of obesity
Dieting
Excessive exercise
Body dissatisfaction
History of abuse
Social media
warning signs of AN
Dramatic, weight loss
Preoccupation with weight and calories in food
Refusal to eat foods
Frequent comments about feeling fat
Denial of hunger
Excuses to avoid meal times
Excessive exercise regimen
Refeeding syndrome
potentially fatal complication
Sudden shifts and electrolytes that help the body metabolize food
Nutrient should be re-introduced slowly
bulimia nervosa
Recurrent episodes of uncontrolled binges and compensatory behavior to avoid gaining weight by purging, self-induced, vomiting, and medication’s
is BN life-threatening
No
What’s the difference between bulimia and anorexia nervosa?
Bulimia has a older age onset
Bulimic patients are around normal weight
Bulimic patients have better outcomes
Who is most likely to get bulimia nervosa?
females
Later adolescence to young adults
risk factors of bulimia nervosa
Binge eating
History of anorexia
Depressive symptoms
Impulsive
Anxiety
warning, signs of BN
Disappearance of large amounts of food in short time
Frequent trips to the bathroom
Symptoms of vomiting
Excessive rigid exercise
parotid swelling
callus scarring
tooth erosion
russels sign
scarring on knuckles from self inflicted vomiting
criteria for hospitalization
Extreme electrolyte imbalance
Body weight, less than 75% ideal
Less than 10% body fat
Daytime HR less than 50 bpm
SBP less than 90
Temperature less than 96
Arrhythmias
binge eating disorder
Recurrent episodes of binging with the stress and impaired control over behavior
Generally present as upper or lower G.I. issues
PICA
Ingestion of substances, with no nutritional value, such as dirt or paint
rumination disorder
Undigested food being returned to mouth, reach you or we swallowed or spit out
Who is rumination disorder, more common in
People with intellectual disabilities and infants
avoidant/restrictive food intake disorder
Weight loss
Nutritional deficiency
Dependent on supplements and enteral feedings
Can be related to strong dislikes and sensory qualities of food
