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

Eating Disorders (21) Flashcards

1
Q

Define obesity:

A

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

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2
Q

What are the genetic components involved in obesity?

A

Leptin receptor mutation

Melanocortin 4 receeptor mutation

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3
Q

What are the iatrogenic components involved in obesity?

A

Anti- psychotics and/ or ant-depressants

Block H1, Ach, 5HT2c receptors

Increase prolactin by D2 recptor blockade

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4
Q

How can ovesity be managed by surgical means?

A

Bariatric surgery and gastric banding

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5
Q

How can obesity be managed by pharmacologic means?

A

Amphetamines, orlistat (lipase inhibitor), AEDs

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6
Q

What are the DSM 5 criteria for anorexia nervosa Dx?

A

Refusal to maintain 85% typical weight

Restriction of energy intake requirements

Fear of gaining weight

Dysmorphism

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7
Q

What does restricting refer to?

A

Does not perge, does not eat

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8
Q

What is the severity of anorexia based on?

A

BMI

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9
Q

What is the prevalence of anorexia?

A

0.5-4%

Females> Males

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10
Q

What are some possible causes of anorexia?

A

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

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11
Q

In anorexia, neuroepinephrine levels can be….

A

Low

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12
Q

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

A

true

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13
Q

What are the comorbidities associated with anorexia?

A

1- Depression

2- Suicide risk

3- OCD

4- Anxiety disorders

5- Denial/ delusions

6- Minimalization

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14
Q

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

A

1- Weight loss

2- Hypothermia

3- Bradycardia, hypotension

4- Hypokalemia

5- EKG changes

6- LANGUO HAIR

7- Osteoporosis

8-Metabolic acidosis

9- Organ Failure

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15
Q

What symptoms usually persist during recovery from anorexia?

A

Food preoccupation, poor social relations, depression

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16
Q

Why/ when is hospitization needed for anorexia?

A

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
Q

What programs are used during hospitalization for anorexia treatment?

A

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

18
Q

What psychotherapy is used for anorexia?

A

Psychodynamic, CBT, Family

19
Q

What Rx is used for anorexia?

A

TCA, SSRI, Weight gain cocktails

20
Q

What is the DSM 5 criteria for Bullemia nervosa Dx?

A

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

Purging and non purging types

No anorexia present

Compensatory behaviors are present

21
Q

What is binge eating?

A

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

22
Q

What are the compensatory behaviors seen in bulimia?

A

vomiting, laxative use, enemas, diuretics, exercise

23
Q

Which has a greater prevalence, anorexia or bulimia?

A

Bulemia

24
Q

Describe the typical weight of a bulimic patient?

A

Normal to overweight

25
Q

Possible etiology of bulimia?

A

Serotonin loss, increased endorphins, perfectionism of society

26
Q

Medical conditions seen in bulimic patients? (6)

A

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
Q

Typical course of a bulimic patient?

A

Better than anorexia, wax/ wane course over the years

28
Q

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

A

CBT, group therapy, family therapy

SSRI, TCA, MAOI

29
Q

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

A

Avoidant/ Restrictive Food Intake Disorder

30
Q

What does the following describe?

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

2- Lack of control

3- Ego dystonic

4- No purges or compensations

A

Binge eating disorder

31
Q

What is PICA?

A

Presistent eating of non- nutritive substances x1 mo

Not developmentally or culturally appropriate

No medical form of intellectual disability/ autism

32
Q

What is rumination?

A

Repeated regurgiation adn re chewing of food

No weight gain

Often > 6yo

MSII: Behavioral Science (24 decks)

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