Eating disorders Flashcards

1
Q

How is Anorexia Nervosa described or shown in patients?

A

Extreme perfectionism, significant weight loss, body image disturbances, strenuous exercise, need to please others, individual becomes malnourished, damage to brain, heart, kidneys

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2
Q

What mental illness has the highest mortality rate?

A

Anorexia nervosa

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3
Q

How is anorexia nervosa characterized?

A

Preoccupation with food

Refusal to eat

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4
Q

Who does anorexia nervosa occur more often in?

A

Women, from adolescents to adults

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5
Q

What is often the onset to anorexia nervosa?

A

A stressful life event

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6
Q

Manifestations of anorexia nervosa include:

A
  • brittle hair, nails, dry skin
  • lanugo (baby like hair all over skin)
  • osteoporosis
  • amenorrhea
  • constipation
  • anemia
  • low sodium
  • low potassium
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7
Q

Does a person with anorexia nevosa typically feel cold or hot?

A

Cold

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8
Q

In a patient with anorexia nervosa, does a patient show a decreased or increased HR and BP?

A

Decreased HR and BP

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9
Q

What is bulimia nervosa?

A

Binge eating and unhealthy compensatory behaviors at least once per week for 3 months.

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10
Q

How does bulimia nervosa typically begin?

A

As a way to eat and stay slim

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11
Q

What are people that have bulimia nervosa typically obsessed with?

A

Body appearance

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12
Q

What does bulimia nervosa come as a result of?

A

Stress, negative feelings

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13
Q

What are some physical indicators of bulimia nervosa?

A
  • stomach pain
  • sore throat
  • damaged teeth (acid)
  • scars of backs of fingers
  • electrolyte imbalance
  • GERD
  • dehydration
  • irregular heartbeat
  • swollen parotid glands
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14
Q

What is a person with bulimia nervosa weight typically at?

A

Normal weight, or even slightly overweight

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15
Q

Who typically presents with bulimia nervosa?

A

Adolescent females

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16
Q

Why do people with unlimited nervosa typically hide their actions?

A

They are embarressed

17
Q

Who are eating disorder symptoms more common in?

A

Older adults

18
Q

Collaboration includes lab testing, consults with medical professionals, reestablishing adequate nutrition and

A

Stop the binge-purge eating,

19
Q

What are the diagnostic tests for anorexia nervosa?

A

-albumin, total protein, electrolyte levels, CBC, bone density, ECG, urinalysis, kidney, thyroid, liver function tests

20
Q

What are the diagnostic test for bulimia nervosa?

A

-dental assessment, physical assessment

21
Q

What are the diagnostic tests for a binge eating disorder?

A

-physical exam, blood and urine tests

22
Q

What drugs are used for anorexia nervosa?

A
  • antidepressants: SSRI’s, atypical category:Bupropion Hydrocloride
  • antipsychotics
  • mood stabilizers
23
Q

What drugs are used for bulimia nervosa?

A

Fluoxetine (Prozac)

24
Q

What drugs are used for binge eating disorders?

A

Antidepressants, particularly fluoxetine.

25
Q

What are the adverse affects of SSRI’s?

A

Sexual dysfunction, nausea, headache, wight gain, anxiety, insomnia,

26
Q

What are the less common side effects of SSRI’s?

A

Sedation, anticholinergic effects, sympathomimetics effects

27
Q

What does mania mean?

A

Someone has a highly elevated mood

28
Q

For any mental exam it is important to do this to rule out the possibility of underlying causes?

A

Thorough physical examination