Weight Loss Flashcards
Any loss of more than________ of normal body weight is
significant
5%
The most common cause in adults of recent weight
loss is _________
stress and anxiety
Two conditions commonly associated with
weight loss are ______ and ______; they must be
excluded
anaemia and fever
Red flag pointers for weight loss
• Weight loss per se is a big red flag
• Rapid weight loss with malaise
• Acid dental erosion on surfaces of upper teeth:
think bulimia
• Weakness and malaise in young females: consider
eating disorder and hypokalaemia
• Evidence of abuse in a child
_________ is quite common and is almost
entirely confined to females between the ages of
12 and 20 years
Anorexia nervosa
Weight loss in children can be considered as:
1
2
- failure to thrive (FTT): the child up to 2 years
below 3rd percentile ( - weight loss in a child after normal development
In common with the younger child who fails to thrive, the older child may be suffering from 1 2 3
malabsorption syndrome, chronic infection of the
urinary tract or a rare chromosomal or metabolic
disorder.
Traits associated with people who have eating DO
They tend to be perfectionists with
obsessive–compulsive traits
Hx associated with eating DO
A history of childhood
sexual abuse may be relevant.
_________ is a syndrome characterised by
the obsessive pursuit of thinness through dieting with
extreme weight loss and disturbance of body image
Anorexia nervosa
Onset of anorexia nervosa
Bimodal age of onset: 13–14 and 17–18 years
Anorexia Nervosa DSM Criteria
A Restriction of energy intake relative to
requirements leading to significantly low body
weight in context of age, sex and physical
health. That weight is less than minimally normal
or expected
B Intense fear __________
C Disturbance of_________
of gaining weight or becoming fat, despite current underweight status
body image (body size or shape) or persistent lack of recognition of seriousness of low body weight
Types of anorexia
restricting type—no binge eating or purging binge eating/purging type
__________ is episodic secretive binge eating followed by self-induced vomiting, fasting or the use of laxatives
or diuretics.
Bulimia
Bulimia nervosa
This binge–purge syndrome is also referred to as _______
bulimarexia.