Eating Disorders

Question 1

Anorexia Nervosa

DSM

Answer 1

Restriction of energy intake relative to requirements, leading to a significantly low body weight (less than minimally normal/expected)
Intense fear of gaining weight or becoming fat
Disturbance in the way in which one’s body weight or shape is experienced

Question 2

Anorexia Nervosa

Types

Answer 2

Restrictive vs. Binge-eating/purging

Question 3

Anorexia Nervosa

Restrictive Complications

Answer 3

Growth retardation
Infertility
Low BP, HR, temp
Vitamin deficiencies
Amenorrhoea
Brain atrophy
Grand mal seizures
Dry, yellow skin
Lanugo hair, hair loss
Brittle nails
Constipation
GORD
Arrhythmias (increased QT)
CHF
Muscle wasting
OP
Pre-renal failure
Renal calculi

Question 4

Anorexia Nervosa

Binge-purge Complications

Answer 4

Growth retardation
Infertility
Knuckle callus
Parotid gland enlargement
Perioral skin irritation
Periocular/palatal petechiae
Indental enamel
Aspiration pneumonia
Metabolic alkalosis
Brain atrophy
Mallory-Weiss tear
Acute gastric dilation/rupture
Sudden cardiac death (hypokalaemia)
Cardiomyopathy
Renal failure (due to electrolyte disturbances)

Question 5

Bulimia Nervosa

DSM

Answer 5

Recurrent episodes of binge eating (eating lots, with a sense of lack of control)
Recurrent inappropriate compensatory behaviour to prevent weight gain (self-induced vomiting, laxatives, diuretics, medications, fasting, excessive exercise)
Binge eating and compensatory behaviour occur at least once a week for 3 months
Self-evaluation is influenced by body shape and weight

Question 6

Bulimia Nervosa

Types

Answer 6

Purging vs non-purging

Question 7

Bulimia Nervosa

Complications

Answer 7

Fatigability, muscle weakness
Fluid/electrolyte imbalance 
Tooth decay
Swollen appearance around angle of jaw and puffiness of eye sockets
Reddened knuckles
Trouble concentrating
Weight fluctuation