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Flashcards in Anorexia Deck (14):
1

Anorexia population

12-30 yo F at onset

2

Forms of Anorexia Nervosa

Restrictive Type v. Binge Purging type

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Anorexia Restrictive Type is

when during the last 3 mon the pt has not binged purge. Weight loss is accomplished by diet, fasting, or excessive exercise

4

Anorexia Binge Purge type is

when during the last 3 mon the pt has engaged in recurrent binge purging episodes (self induces vomiting, misuse of laxative, diuretics or enemas

5

Anorexia Binge episode is

uncontrolled, compulsive, rapid ingestion of large quantities of food in a very sytematic way

6

Anorexia Purging episode is

to rid the body of excessive calories by self induced vomiting, misuse laxatives, diuretics, enemas

7

Anorexia Nervosa Risk Factors

genetics, neuroendocrine d/o, neurochemical (depression), psychodynamic, family

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Anorexia Nervosa physiologic factors

serotonin and dopamin are both down; brain with this d/o may not release blanced amounts of neurotransmitters

9

Anorexia Nervosa Clinical Manifestation

Emanciated, skeletal muscle atrophy, loss of adipose tissue, breast tissue atropy, hypothermic, lanugo peach fuzz d/t endocrine anomaly, thinning hair or alopecia, dry skin and brittle nails, decreased HR and low BP, constipation, joint swelling/edema

10

Anorexia Nervosa personality

compulsive exercise habits; over preoccupation with food calories; body dysmorphia; perfectionism and obsessive need to control

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Anorexia Nervosa Treatment Goals

restore nutritional status; reasonable weight maintenance (gain and keep an ounce); reestablish normal eating behavior

12

Anorexia Nervosa Prognosis

this d/o comes and goes

13

Anorexia Nervosa Treatment in a Treatment Facility

psychotherapy; cognitive behavioral therapy; reasonable diet with or without liquid supplements; vitamin and mineral supplements; activity curtailment; SSRIs

14

Anorexia Nervosa Highlights

more common in teens; intense fear of obesity; feels fat when thin; avoids eating; refusal to maintain body weight; amenorrhea