Eating Disorders Flashcards Preview

Jason's MD3 Psychiatry Rot > Eating Disorders > Flashcards

Flashcards in Eating Disorders Deck (18):
1

Intake questions for food to ask?

how much did you eat Yesterday?

2

Purging?

stimulants
Laxatives
Exercising

3

What cognition a in eating disorders?

Stress?
Anorexic cognitions: fear of weight gain, insight, food control.

4

Risks with eating disorders

Re-feeding syndrome
Cardiac/medical

5

What increases risk of refeeding syndrome?

Decreased weight
Rapid weight loss(over 2 years vs. weeks)
Severe restriction
new onset

6

Chronic state of starvation, how to assess?

chronic state oMalnutrition

Postural hypotension
Hypokalaemia
Postural tachycardia
Russell's sign

7

What is the most available energy source after glycogen?

Albumin
Fibrinogen

Why you get bruising in starvation

8

Comorbidities of eating disorders?

Impulse control
Borderline -needs to be enduring and there when they are well.
Anxiety
Depression
OCD

9

Borderline Personality traits?

Immature and underdeveloped sense of self
Sense of emptiness
Abandonment - afraid of ppl leaving you?
Emotional regulation
Relationship volatility, multiple episodes
Labile mood
Impulsiveness: sex, drugs, finances
Dissociation: stress
Paranoia: stress

10

Bloods for eating disorders?

FBE: leucopaenia, chronic anaemia?
UEC: CMP, K, Na
LFT: albumin

11

MAJOR complications of eating disorders

Infertility
Cerebral atrophy
Osteopenia - DEXA
Muscle wasting
Kidney wasting
Gastroparesis

12

Acute management of Eating Disorders

NGT? Oral?
Call Dietician: 1500 cal
Obs, rest
Electrolyte correction
Give THIAMINE
Psych support: family, suicidality, psycho Edu,

13

When to use NGT? 2 reasons

Refusing to eat - Mental health act
If ppl ask for it.

14

Long term management of eating disorders

Family based therapy
Separation/externalizing the illness

CBTe
DBT - borderline personality

15

Who is at high risk of eating disorder?

Perfectionist traits
High standards of themselves
Borderline personality - emotional regulation - Bulnaemia
Attitudes to food:
Hypercritical parenting style
Childhood obesity and sexual assault



16

OCD vs. OCPD

Egodistonic: OCD. (Not keeping with their personality)
Egosyntonic:OCPD (In keeping with personality)

17

Prognosis of eating disorder long term

40% complete remission
40%: improvement
20%: same
10-15% suicide/death

18

In ED with presentation of apparent eating disorder, think of?

Organic
Psychiatric
Static/dynamic
Risk assessment