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Flashcards in Eating Disorders Deck (28)
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1
Q

What are the diagnostic criteria of Anorexia Nervosa?

A

weight loss
restricted intake of food
intense fear of gaining weight
disturbed perception of body image / weight

2
Q

What are some of the behavioral signs of Anorexia Nervosa?

A
Severe diets or fasting
Odd food rituals
Rigid Exercise regimes
Hiding weight loss
Binging/purging/laxatives/enemas
3
Q

What are some of the emotional/cognitive signs of Anorexia Nervosa?

A

Mood Shifts
Intense fear of gaining weight
Self-worth is based on what they eat
Insecurity and perfectionist attitude

4
Q

What are some of the physiological signs of Anorexia Nervosa?

A
Weight loss
loss of menstrual cycle
pale and dizzy
fatigued
Lanugo (thin hair)
brittle nails
Impaire concentration
5
Q

What are some medical complications seen in AN?

A
Low BP
Reproductive problems
GI and GU problems 
Osteoporosis 
Edema
Cardiac irregularities
6
Q

What are the diagnostic criteria for Bulimia Nervosa?

A

Recurrent episodes of binge eating with no control over eating during those episodes.

Recurrent compensatory behavior (excessive exercise) following binge episode to prevent weight gain.

Often patients are normal weight.

7
Q

What are some of the associated behavioral signs in BN?

A
Binge eating and secretive eating
Excessive visits to bathroom after meals
preoccupation about food and weight
vomiting / laxatives / fasting 
Rigid and compulsive exercising
8
Q

Between anorexia nervosa patients and bulimia nervosa patients, which group often is seeking help for their condition?

A

Bulimia nervosa patients are often ashamed of their actions and can be desperately seeking help.

9
Q

What are the physical signs of bulimia nervosa?

A
Weight fluctuations
Swollen glands / puffy cheeks
broken blood vessels in eye
scarring / callous on back of hand
menstrual irregularities
Complaints of sore throat / hoarse voice
10
Q

What are some medical complications seen in bulimia nervosa?

A

Electrolyte imbalance
Cardiac irregularities
Dental problems
Damage to upper GI tract

11
Q

What are the diagnostic criteria of Binge Eating Disorder (BED)?

A

Recurrent episodes of binge eating with no control over eating during the episode. (No purging / weight loss associated)

\+3 of the following: 
Eating more rapidly than normal
Eating until uncomfortably full 
Eating alone due to shame
Eating when not hungry
Feeling guilty afterwards
12
Q

What are the emotional/cognitive characteristics in Binge Eating Disorder?

A

Depression/guilt/shame
Co-morbid mood/anxiety disorder/personality disorder
May desperately want help (with weight) not the eating

13
Q

What are the associated physical signs associated with Binge Eating Disorder?

A

Significant weight gain
High BP
High cholesterol
Increased risk of diabetes

14
Q

What is avoidant restrictive food intake disorder?

A

Weight loss and picky eating w/o body image distortion.

Correlates with pervasive developmental disorder.

15
Q

Describe purging disorder.

A

Purging after eating small amounts of food - normal body weight

16
Q

Describe rumination.

A

Chew food - swallow food - bring it back up - chew it again

17
Q

Describe Night Eating Syndrome

A

Most of the food you intake occurs at night.

Must eat at night to go to sleep sometimes

18
Q

What are some co-morbid diseases seen with eating disorders?

A
Mood disorder
Anxiety disorder
Personality disorder
Substance abuse
ADHD
Sexual abuse/PTSD
19
Q

What is the peak age of onset for anorexia?

A

14-18

20
Q

What is the peak age of onset for bulimia?

A

Late adolescence to young adulthood.

21
Q

What are the treatment goals for anorexia nervosa?

A

Return to 90-100% of IBW (100% for premenarcheal females)
Regular pattern of eating
Decreased dietary restrictions

22
Q

What are some goals for patients with BN or BED?

A

cessation of binge eating/purging
regular pattern of eating
Exposure and response prevention
Mindful eating practices

23
Q

Has family based therapy been shown to be effective in patients with AN?

A

Yes. Especially for adolescents with anorexia nervosa.

24
Q

What medications have been approved for anorexia and binge eating disorder?

A

none

25
Q

What medication has been approved for bulimia?

A

Fluoxetine (SSRI)

26
Q

What medication is contraindicated in eating disorders?

A

Buproprion

27
Q

What class of medication has shown some promise in treating eating disorders?

A

Atypical anti-psychotics (olanzapine)

28
Q

What are the poor prognostic factors of AN and BN?

A
Vomiting 
lower weight
higher levels of depression / impulsivity
increasing age
length of illness
treatment failure