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Flashcards in Eating disorders Deck (16):
1

What are some iatrogenic causes of obesity?

-anti-psychotics and/or antidepressants
-block H1 --> increase appetite
-block achm --> weight gain
-block 5-HT2c --> sensitivity of leptin, increase weight

2

what are 3 pharmacologic therapies for obesity?

-amphetamines (decreases appetite)
-orlistat (lipase inhibitor) --> can't absorb fat; side effect: diarrhea
-topiramate and zonisamide (anti-convulsants)

3

What's is the DSM-5 diagnosis of anorexia nervosa?

-refusal to maintain 85% typical weight
-restriction of energy intake requirements --> low body weight
-fear of gaining
-body image disturbance (dysmorphism)
-missed menstrual cycles x 3 (DSM-IV)
-restricting type = does not eat, does not purge
-binge/purge type = does binge or purge
-severity is based on BMI

4

What's the mortality rate of anorexia nervosa?

18%

5

What's the personality profile of someone who has anorexia nervosa?

rigid and controlling and high achieving or are being rigidly controlled

6

What are some comorbidities assoc with anorexia nervosa?

-weight loss
-suicide increase
-OCD
-anxiety disorders
-rigid and perfectionistic traits
-delayed psychosexual development
-denial
-minimization
-delusion

7

What are some medical issues assoc with anorexia nervosa?

-weight loss
-hypothermia
-edema
-bradycardia, hypotension, syncope
-amenorrhea
-electrolyte imbalance, low K+
-cardiac changes
-lanugo hair
-osteoporosis
-delayed gastric emptying
-metabolic acidosis
-organ failure

8

What is the DSM-5 diagnosis of bulimia nervosa?

-recurrent binge eating
-eating an atypically large amt in discrete period of time disproportionate to typical eating
-purging vs non-purging types
-no anorexia present
-loss of control
-vomiting, laxative use, enema,s diuretics, exercise
-binges 1x/wk for 3 months
-compensatory behaviors necessary for diagnosis

9

Which has greater prevalence: anorexia nervosa or bulimia?

bulimia

10

Unlike anorexia nervosa in which the affected person has a rigid, high acheiving personality, what does a person with bulimia have?

dysfunctional family, less rigid and more conflued, outgoing, angry, impulsive traits, borderline personality, more substance abuse & personality d/o

11

What are some medical signs of someone with bulimia nervosa?

-poor dentition, enamel loss, cavities
-abraided knuckles (Russell's sign)
-normal/overweight
-sexually active
-high amylase/salivary enlargement
-low PO4, low Mg

12

Which meds are approved for bulimia nervosa?

SSRIs

13

What is avoidant/restrictive food intake disorder?

-failure to meet diet/energy needs
-weight loss, nutritional deficiency
-supplementation needed
-psychosocial distress
-doesn't meet full anorexia criteria

14

What is binge eating disorder?

-binges
-lack of control
-ego dystonic
-1x/wk for 3 months
-no purges or compensations

15

What is PICA?

-persistent eating of non-nutritive substance for 1 month
-not developmentally or culturally appropriate
-not medical or from intell disability or autism

16

What is rumination?

-repeated regurgitation and re-chewing of food
-no weight gain
-not medical or from intell disability or autism
-often before 6 yrs