eating disorder Flashcards
Hallmarks of anorexia nervosa
BMI 1.5 or less
self-induced weight loss body image disturbance
fear of fatness
amenorrhoea
other questions important to ask in query anorexia nervosa
hair loss lanugo hair cold, blue peripheries dry skin bradycardia bruising
test you might consider in someone with a query eating disorder
sit up stand up or squat test
what might you see on ecg with someone who has an eating disorder
prolonged QT and bradycardia
what might someones FBC look like with an eating disorder
high GGT and ALT due to the body beginning to digest the liver :(
their biochem might look like…
low Na
DXA will look like
osteopenis / osteoporosis
- advise them to avoid sports that are intense
What is refeeding syndrome
caused by drastic shift in electrolytes as the body quickly uses up new source to repair itself
what is important to look out for to indicate refeeding syndrome
hypophosphataemia
when is refeeding syndrome likely to occur following initial feed
4 days after - however use constant monitoring of bloods to try and avoid this
if a patient is really sick, what is the best initial management
marsipan
first line in patient who isnt that sick
CBT - psychological therapies
hallmarks of bulimia nervosa
persistent preoccupation with eating irresistible craving for food binges vomiting or laxative misuse dread of fatness
Russells sign?
calluses on knuckles
seen in bulimia nervosa
Important aspects to physical assessment of someone with suspected bulimia nervosa
russells sign
parotid hypertrophy
dental caries
U+E
