Eating Disorders Flashcards

(26 cards)

1
Q

What are the three eating disorders?

A

Anorexia nervosa
Bulimia nervosa
Binge eating disorder

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2
Q

What patients suffer from a disturbance of body image, and use extensive measures to avoid gaining weight?

A

Anorexia
Bulimia

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3
Q

What are the extensive measures taken by patience with bulimia and anorexia?

A

Use of laxatives and enemas
Fasting in excess of exercise

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4
Q

Binge eating disorder

A

Typically binge in response to negative emotions

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5
Q

Main DSM requirement for Anorexia nervosa

A

Restriction of caloric intake, leading to significant low body weight

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6
Q

Anorexia nervosa is associated with what type of traits?

A

Obsessive compulsive

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7
Q

What are the two types of anorexia nervosa?

A

Restrictive type
Binging and purging type

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8
Q

Restrictive anorexia nervosa

A

achieve weight loss through diet, fasting, or excessive exercise

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9
Q

Binging/purging type AN

A

Follows binges with vomiting, and use of laxatives, enemas, or diuretics

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10
Q

Physical manifestations of a AN

A

A menorrhea
Hypotension
Arrhythmias
Alopecia
Cold intolerance with hypothermia
Bradycardia
Lanugo - small, soft baby like hair
Constipation
Hypothyroidism

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11
Q

Lab abnormalities with AN

A

Hyponatremia
Arrhythmias with QT prolongation
Leukopenia and anemia
Elevated liver enzymes
Hypothyroidism
Hypoglyc
Med. Complications related to weight loss, and purging
Hypocaloremic hypokalemia alkalosis -with vomiting

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12
Q

Treatment of anorexia nervosa

A

CBT
family therapy with supervised weight gain programs
Reseeding

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13
Q

Are SSRIs helpful with anorexia nervosa?

A

No

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14
Q

Bulimia nervosa is characterized by

A

Binge eating combined with behaviors intended to counteract weight gain
vomiting
Use of laxatives
Enemas
Diuretics

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15
Q

What does binge eating?

A

Excessive food intake within a two hour period accompanied with a lack of self-control

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16
Q

Unlikely anorexia nervosa bulimia patients appear how?

A

Maintain normal width or are overweight

17
Q

DSM criteria for bulimia nervosa

A

Recurrent episodes of binge eating with inappropriate attempts to compensate

18
Q

Physical manifestations of bulimia nervosa

A

Sialadenitis
Dental erosions
Calluses in abrasions on dorsal surface of hand
Petechiae
Peripheral edema

19
Q

First line Treatment for bulimia nervosa

A

SSRIs
Fluoxetine specifically

20
Q

What SSRI do we avoid in bulimia nervosa?

A

Bupropion, because it lower seizure threshold

21
Q

Key distinguishing feature in anorexia nervosa

A

Abnormally, low weight
BMI less than 18.5.

22
Q

Appearance of bulimia, nervosa, patience

A

Maintain body weight or above minimally normal level

Anatomic and Physiologic sequelae of severe weight loss that occur in anorexia nervosa is not seen in bulimia

23
Q

Binge eating disorder

A

Recurrent episodes of eating, excessive quantities of food, not followed by unhealthy compensation’s

24
Q

Compared to patients with anorexia nervosa or bulimia nervosa patients with binge eating disorder appear how?

A

Overweight/obese

25
Patience, avenge, eating disorder often suffered from what medical problems?
Cardiovascular disease Type two diabetes Metabolic syndrome
26
Treatment of binge eating disorder
CBT or interpersonal psychotherapy with strict diet and exercise regimen