Eating Disorders (21) Flashcards Preview

MSII: Behavioral Science > Eating Disorders (21) > Flashcards

Flashcards in Eating Disorders (21) Deck (32):
1

Define obesity:

More than 20% over ideal body weight (MBI >30)

2

What are the genetic components involved in obesity?

Leptin receptor mutation

Melanocortin 4 receeptor mutation

3

What are the iatrogenic components involved in obesity?

Anti- psychotics and/ or ant-depressants

Block H1, Ach, 5HT2c receptors

Increase prolactin by D2 recptor blockade

4

How can ovesity be managed by surgical means?

Bariatric surgery and gastric banding

5

How can obesity be managed by pharmacologic means?

Amphetamines, orlistat (lipase inhibitor), AEDs

6

What are the DSM 5 criteria for anorexia nervosa Dx?

Refusal to maintain 85% typical weight

Restriction of energy intake requirements

Fear of gaining weight

Dysmorphism

7

What does restricting refer to?

Does not perge, does not eat

8

What is the severity of anorexia based on?

BMI

9

What is the prevalence of anorexia?

0.5-4%

Females> Males

10

What are some possible causes of anorexia?

Industrialization, job?, media?, Personality profile of rigid and controlling

11

In anorexia, neuroepinephrine levels can be....

Low

12

T/F: Fear of independence and maturation is a major cause of anorexia

true

13

What are the comorbidities associated with anorexia?

1- Depression

2- Suicide risk

3- OCD

4- Anxiety disorders

5- Denial/ delusions

6- Minimalization

14

What are some medical issues seen in anorexia? (9)

1- Weight loss

2- Hypothermia

3- Bradycardia, hypotension

4- Hypokalemia

5- EKG changes

6- LANGUO HAIR

7- Osteoporosis

8-Metabolic acidosis

9- Organ Failure

15

What symptoms usually persist during recovery from anorexia?

Food preoccupation, poor social relations, depression

16

Why/ when is hospitization needed for anorexia?

Needed to restore nutritional state once 20% typical weight is loss

Forced tube feedings is severe, end organ damage, electrolyte or cardiac findings or patient unwilling to comply

17

What programs are used during hospitalization for anorexia treatment?

AM weights, I/Os, labs, inaccessible bathrooms, progressive diets

18

What psychotherapy is used for anorexia?

Psychodynamic, CBT, Family

19

What Rx is used for anorexia?

TCA, SSRI, Weight gain cocktails

20

What is the DSM 5 criteria for Bullemia nervosa Dx?

Recurrent binge eating (1X/ wk for 3 months)

Purging and non purging types

No anorexia present

Compensatory behaviors are present

21

What is binge eating?

eating an atypically large amount in discrete period of time disproportionate to typical eating

22

What are the compensatory behaviors seen in bulimia?

vomiting, laxative use, enemas, diuretics, exercise

23

Which has a greater prevalence, anorexia or bulimia?

Bulemia

24

Describe the typical weight of a bulimic patient?

Normal to overweight

25

Possible etiology of bulimia?

Serotonin loss, increased endorphins, perfectionism of society

26

Medical conditions seen in bulimic patients? (6)

1- Poor dentition. enamel loss, cavities

2- RUSSEL'S SIGN (Abraided knuckles)

3- Normal/ overweight

4- Lab changes (low PO4 and Mg, high amylase)

5- Salivary enlargement

6- Esophagitis/ tears

27

Typical course of a bulimic patient?

Better than anorexia, wax/ wane course over the years

28

What treatment is used for bulimia? (incude psycho and Rx)

CBT, group therapy, family therapy

SSRI, TCA, MAOI

29

What does the following describe?

1- Failure to meet diet/ energy needs

2- Weight loss, nutritional deficiency, supplementation need, psychosocial distress

3- Doesn't meet full anorexia criteria

Avoidant/ Restrictive Food Intake Disorder

30

What does the following describe?

1- Binges (1X/ wk for 3 months)

2- Lack of control

3- Ego dystonic

4- No purges or compensations

Binge eating disorder

31

What is PICA?

Presistent eating of non- nutritive substances x1 mo

Not developmentally or culturally appropriate

No medical form of intellectual disability/ autism

32

What is rumination?

Repeated regurgiation adn re chewing of food

No weight gain

Often > 6yo