Bulemia Nervosa

Question 1

Bulemia Nervosa is characterized by

Answer 1

episodes of binge eating followed by feelings of guilt, humiliation, depression, and self-condemnation; followed by inappropriate compensatory behavior to rid calories

Question 2

Bulemia Nervosa should NOT be confused for

Answer 2

hunger; it’s to control anxiety and emotions and get rid of guilt

Question 3

Diagnostic Criteria for Bulemia Nervosa

Answer 3

Recurrent episodes of binge eating; recurrent inappropriate compensatory behaviors in order to prevent weight gain; self-evaluation that is unduly influenced by body shape and weight

Question 4

Bulemia Nervosa Risk Factors

Answer 4

genetic first degree relatives, biologcial chromosome 10p and altered serotonin levels, behavioral, environmental, family, psychosocial, childhood obesity, early pubertal maturation, genetic vulnerability, White F, overanxious d/o of childhood

Question 5

Bulemia Nervosa Clinical Manifestation

Answer 5

appear thin, normal, or slightly overweight; persistent sore throat, heartburn, tooth staining, loss of dental enamel, and caries/cavities; callus and scarring on back of the hands and knuckles; F/E imbalance

Question 6

Bulemia Nervosa PC

Answer 6

gastric rupture during binge; parotitis and gum infx (puffy cheeks); dehydration; chronic irregular BM; mood and anxiety d/o; substance abuse; rectal prolapse

Question 7

Bulemia Nervosa diagnostic test

Answer 7

evaluate upper GI; psychologcial evaluation; lab tests; baseline EKG

Question 8

Bulemia Nervosa treatment

Answer 8

cognitive behavior tx; centering on issues that cause the behavior; work on their extreme perfectionism and weight control behavior; anti-depressants/anti-anxiety; Self-help groups when they are ready later

Question 9

Bulemia Nervosa highlights

Answer 9

more common in 20 yo F; recurrent binging then purging; persistent over concern with body shape; appears normal size