eating disorders Flashcards Preview

Psych > eating disorders > Flashcards

Flashcards in eating disorders Deck (16):
1

what is anorexia nervosa

morbid fear of fatness, distorted body image, amenorrhoea, weight loss

2

diagnostic criteria anorexia

BMI

3

associated clinical features anorexia

preoccupation with food, self conscious about eating in public, vigorous exercise, constipation, cold intolerance, depressive and OCD

4

physical signs anorexia

dental cavies, hypotension, QT prolonged, arrhythmias, prolonged GI transit, fine lanugo hair on face and trunk, anaemia and leucopenia, hypo- kalamaemia natraemia glycaemia thermia thyroid.

5

what are the signs from repeated vomiting

hypokalaemia, alkalosis, pitted teeth, parotid swelling, scarring of dorsum of the hand- Russells sign, oesophageal erosions

6

why do you get amenorrhoea from anorexia

low levels LH and FSH despite low levels oestrogen

7

common psych symptoms in anorexia

memory and concentration problems, irritable, low self esteem, loss appetite, insomnia, social withdrawal

8

differentials anorexia

physical disease, brain tumours, GI eg crohns, loss of appetite, depression

9

management

family interventions, CBT, family therapy, interpersonal psychotherapy. fluoxetine, TCAs, education

10

when will admission to hospital be necessary

severe or rapid weight loss BMI, severe electrolyte imbalance, serious physiological complications, change in mental status, psychosis risk of suicide

11

what are the risks of refeeding

cardiac compensation- myocardium cant withstand increased metabolic load. bloating, oedema, CCF

12

what is a long term complication of anorexia nervosa

osteoporosis

13

what is bulimia nervosa

morbid fear of fatness, craving for food and binge eating, recurrent behaviours to prevent weight gain, preoccupation with body weight and shape

14

clinical features bulimia

normal or excessive weight, intense self loathing

15

DDX bulimia

consider anorexia nervosa, affective disorder, obesity

16

management bulimia

meds, CBT or IPT. fluoxetine