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Flashcards in Eating disorders Deck (13):
1

Anorexia nervosa diagnostic criteria

-BMI index of 17.5 or less
-self induced weight loss (strict dieting, vomitting, excessive exercise)
-body image disturbance
-fear of fatness
-amenorrhoea

2

Investigations for anorexia nervosa?

-haematology
-biochemistry
-ECG
-DXA

3

Cardiovascular complications of anorexia?

-hypotension
-bradycardia
-prolonged QT
-arrhythmia
-hypercholesterolaemia

4

Metabolic complications of anorexia

-hypothermia
-dehydration
-electrolyte disturbance (low potassium, magnesium, calcium, phosphate)
-hypoglycaemia
-raised LFTs

5

Haematological complications of anorexia?

-anaemia
-low WBC
-thrombocytopenia
-iron deficiency
-B12 and folate deficiency

6

Renal complications of anorexia

-nocturia
-acute renal failure
-chronic renal failure
-psychogenic polydipsia

7

Endocrine complications of anorexia

-low oestrogen, testosterone, gonadotrophins
-low thyroxine
-raised cortisol

8

GI complications of anorexia

-swollen salivary glands
-dental caries, erosion of enamel
-delayed gastric emptying, bloating
-constipation

9

MSK complications of anorexia

-cramp
-tetany
-muscle weakness
-osteoporosis
-fractures

10

Bulimia nervosa diagnostic criteria

-persistent preoccupation with eating
-irresistible craving for food
-binges
-attempts to counter the effects of binges (starvation, vomiting, laxatives, drug misuse)
-morbid dread of fatness

11

Physical signs of bulimia

-calluses on knuckles (Russell's sign)
-parotid hypertrophy
-dental caries

12

Medical complications of bulimia

-Oesophageal reflux
-Oesophageal tears/rupture
-Hypokalaemia
-Subconjunctival haemorrhage
-Dehydration
-Seizures – metabolic abnormalities

13

Binge eating disorder

-episodes of compulsive overeating
-taste and quality of food important
-NO compensatory behaviour
-weight and shape less important to self-esteem than bulimia