eating disorders Flashcards Preview

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Flashcards in eating disorders Deck (20):
1

genetic component to obesity

leptin receptor mutation, melanocortin receptor mutation,

2

iatrogenic

antipsychotics, antidepressants, antihistamines, D2 blockades increase prolactin.

3

lifestyle and obesity

sedentary, dependence on automobiles, increased fat, carbs, processed food.

4

anorexia nervosa

refusal to maintain 85% of typical body weight. fear of gaining, restriction of energy intake requirements, dysmorphism, missed menstrual cycles. there are different types. also severity based on BMI

5

restricting type

does not eat, does not purge.

6

binge/purge type

does binge and purge

7

mild

17

8

Moderate

16-16.99

9

severe

15-15.99

10

extreme

<15

11

possible etiologies

endogenous opiate imbalance, media/industry, family sacrifice, fear of independence, lack of sense of autonomy, need control in life or being rigidly controlled, neuroepinephrine imbalance -low.

12

comorbidies and personality types

depression 50%, suicide increase, OCD, anxiety disorders, rigid and perfectionist traits, delayed psychosexual development, denial, delusion, minimization

13

medical issues associated with anorexia

weightloss, hypothermia, edema, bradycardia, hypotension, syncope, amenorrhea, electrolyte imbalance and cardiac arrhythmia, lanugo hair, osteoporosis, delayed gastric emptying, metabolic acidosis.

14

treatment

hospitalization, tube feedings, behavioral plan. CBT, family, psychodynamic.

15

medications

TCA, SSRI, ECT if depressed, treat all comorbidities.

16

bulimia nervosa

recurrent binge eating (large amounts in discrete time). there are purging and non-purging. no anorexia present. loss of control and compensatory behavior. vomiting, laxatives, enemas, diuretic, exercise, must binge 1x/week, for 3 months. motte prevalent than anorexia, 40% college women. obese common.

17

personality for bulimia

reckless, out of control. not typically type A. belongs to a dysfunctional family, but more conflicted than rigid. outgoing angry, impulsive traits, borderline personality. more addiction and anxiety.

18

what is russel's sign

abraided knuckles from hitting the teeth when purging.

19

rumination

repeated regurge and chewing and then reswallowing.

20

what meds are most reasonable for bulimia

SSRI