Eating Disorders Flashcards

1
Q

What is the DSM-5 criteria for anorexia nervosa?

A
  • Restriction of energy intake in relation to requirement leading to a low weight
  • Intense fear of weight gain
  • Disturbed view of weight/shape, self evaluation based on weight/shape or denial or seriousness of weight loss

(BMI and amenorrhoea no longer part of diagnostic criteria)

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2
Q

What are some risk factors for anorexia nervosa?

A
Female
Occupational eg dancer
Perfectionism
OCPF personality disorder
Young dieting behaviours
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3
Q

What blood test results might you expect in anorexia nervosa?

A

Low K
Low T3
Low LH, FSH, oestrogen and progesterone

High cholesterol
High cortisol

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4
Q

What are some signs and symptoms of anorexia nervosa?

A
Dizziness/ syncope 
Lanugo hair 
Cheek swelling (enlarged salivary glands)
Hypotension 
Bradycardia 
Hypothermia 
Constipation 
Osteoporosis 
Recurrent miscarriage
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5
Q

How is anorexia nervosa managed? How is this different in children?

A

CBT-ED
MANTRA
SSCM
ED focussed psychodynamic psychotherapy

Children: Family therapy

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6
Q

What bloods test results characterise refeeding syndrome?

A

Low phosphate, magnesium and potassium
Low thiamine
High glucose

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7
Q

What is bulimia nervosa characterised by? (DSM-5)

A

1x/week for 3 months:

  • Recurrent episodes of binge eating in which the patient feels out of control
  • Compensatory behaviour in an attempt to prevent weight gain

+ self evaluation based on weight/shape

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8
Q

Describe the cycle patients with bulimia nervosa go through

A
1 Tension and cravings
2 Binge eating
3 Purging to avoid weight gain
4 Shame and disgust
5 Strict dieting
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9
Q

What are some signs and symptoms of bulimia nervosa?

A
  • Dizziness
  • Swollen cheeks
  • Tooth erosion and gum disease
  • Oesophageal tears and rupture
  • Stomach ulcers
  • Irregular bowel movements, bloating
  • Arrhythmias, HF
  • Knuckle abrasion
  • Dehydration, low K, Mg and Na
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10
Q

How is bulimia nervosa managed? How is it managed in children?

A

4 weeks of guided self help programme
If no improvement then CBT-ED
+/- Fluoxetine (licensed for bulimia)

Children: Bulimia nervosa focussed family therapy (BN-FT)

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