[CLMD] Eating Disorders and Refeeding Syndrome [Hill] Flashcards
What are the (3) major types of eating disorders?
Anorexia nervosa
Bulimia nervosa
Binge eating disorder
Bulimia and anorexia nervosa are often accompanied by _________
Bulimia and anorexia nervosa are often accompanied by suicidality
Define anorexia nervosa
Restriction of energy intake relative to requirements
Low BMI
Intense fear of gaining weight
Distorted perception of body weight and shape
What are examples of questions to ask for an eating disorder screen?
- Are you satisfied with your eating patterns?
- Do you ever eat in secret?
- Does your weight affect the way you feel about yourself?
- Have any members of your family suffered with an eating disorder?
- Do you currently suffer with or have you ever suffered in the past with an eating disorder?
What are (2) types of anorexia nervosa?
Restricting type
Binge eating/purging type
The following behavior:
Excessive exercising, fasting, dieting
Is associated with which subtype of anorexia nervosa?
Restricting type
The following behavior:
Self-induced vomiting, misuse of laxatives, diuretics, enemas
Is associated with which subtype of anorexia nervosa?
Binge-eating/purging type
What is a major clinical difference in appearance between anorexia and bulimia?
Anorexic patients are ALWAYS UNDERWEIGHT
Bulimia patients are not
What are (2) most significant medical complications associated with anorexia nervosa?
Cardiac [bradycardia, hypotension, QT dispersion]
Electrolyte [dehydration, hypokalemia, hypophosphatemia]
What is refeeding syndrome?
Clinical complications that occur as a result of fluid and electrolyte shifts during aggressive nutritional rehabilitation of malnourished patients
What are some comborbid conditions associated with AN?
Mood disorders
Personality disorders
Disordered personality traits
What is the treatment for AN?
Interdisiplinary team including [mental health clinician, registered dietitian and general medical clinician]
Nutritional rehabilitation
Monitor for medical complications
Hospitaliztions for complications
What drug is ABSOLUETLY contraindicated in AN?
Bupropion
What is the definition of bulimia nervosa?
Recurrent episodes of binge eating
Prevent weight gain
Pts can vary between normal body weight, slightly underweight overweight or obese
What is a unique medical finding for BN?
Mallory weiss syndrome
Tooth enamel erosions
Callus on dorsum of hand
