eating disorders

Question 1

outside range of normal; accompanied by anxiety, guilt; result in physiologic imbalances, medical complications

Answer 1

eating disorder

Question 2

An eating disorder characterized by the patient’s inability refusal or inability to maintain a minimally normal body weight, intense fear of gaining weight or becoming fat, significantly disturbed perception of the shape or size of the body, & steadfast inability or refusal to acknowledge the existence or seriousness of a problem

Answer 2

anorexia nervosa

Question 3

An eating disorder characterized by recurrent episodes ( at least twice a week for 3 months) of binge eating followed by inappropriate compensatory behaviors to avoid weight gain such as purging ( self-induced vomiting or use of laxatives, diuretics, enemas, or emetics) fasting, or excessively exercising

Answer 3

bulimia nervosa

Question 4

Consuming a large amount of food ( far greater than most people eat at one at one time) in a discrete period of usually 2 hours or less

Answer 4

binge eating

Question 5

Ritualistic or repetitive behaviors the patients carries out continuously in an attempt to neutralize anxiety

Answer 5

compulsive overeating

Question 6

how do eating disorders occur in people?

Answer 6

• disruptions in the nuclei of the hypothalamus
• genetic vulnerability
• neurochemical changes (norepinephrine, serotonin)

Question 7

An extreme discrepancy between one’s body image & the perceptions of other & extreme dissatisfication with one’s body image.

Answer 7

body image disturbance/dissatisfaction

Question 8

• denial
• amenorrhea
• bmi less than 17.5
• pre occupied with food, dieting, and exercise

Answer 8

anorexia nervosa

Question 9

what are s/s of anorexia?

Answer 9

constipation, sensitive to cold, lanugo hair on body, hair loss, dry skin, dental caries, pedal edema, bradycardia, enlarged parotid glands and hypothalamus, electrolyte imbalance, dry yellowish skin, difficulty maintaining body temperature, Cachectic appearance,

Question 10

What types of laboratory test would you see with anorexia?

Answer 10

Anemia & leukopenia with lymphocytosis; thrombocytopenia
Possible impaired liver function
Hypoalbuminemia
Elevated blood urea nitrogen ( dehydration)
Abnormal blood glucose level

Question 11

Psychopharmacology Anorexia Nervosa

Answer 11

amitriptyline, cyproheptadine, olanzapine, fluoxetine

Question 12

Recurrent episodes of TRIGGER → BINGING EATING → (secretive,guilt, disgust); → PURGING

Answer 12

Bulimia Nervosa

Question 13

What signs should you monitor for with purging?

Answer 13

Callus on “preferred” finger
Hoarseness, GERD
Teeth enamel erosion/cavities
Swollen parotid glands
Inflammation of esophagus

Question 14

what are the signs of bulimia?

Answer 14

Signs of bulimia include (A) irritation and inflammation of the pharynx as well as the esophagus from chronic vomiting and (B) erosion of the lingual surface of the teeth, loss of dental enamel, periodontal disease, and extensive dental caries

Question 15

What laboratory and diagnostic test would you notice with a person with bulimia nervosa?

Answer 15

Hypokalemia Hypochloremia
Anemia
Hyponatremia Hypomagnesmia Decreased estrogen(women)
Decreased testosterone (men)

Question 16

treatment for bulimia nervosa

Answer 16

Antidepressants

Question 17

inability to control overeating plus guilt feeling; no compensating behaviors to prevent weight gain

Answer 17

binge eating disorder