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Flashcards in Eating Disorders Deck (23):
1

Which eating disorders are there in ICD10?

-Anorexia nervosa
-Atypical anorexia nervosa
-Bulimia nervosa
-Atypical bulimia nervosa
-Overeating associated with other psychological disturbances
-Vomiting associated with other psychological disturbances
-Other eating disorders
-Unspecified eating disorders

2

Define anorexia nervosa

A disorder characterized by deliberate weight loss, induced and sustained by the patient.

3

Who does anorexia nervosa affect?

It occurs most commonly in adolescent girls and young women, but adolescent boys and young men may also be affected, as may children approaching puberty and older women up to the menopause.

4

What is the underlying psychopathology of anorexia nervosa?

A dread of fatness and flabbiness of body contour persists as an intrusive overvalued idea, and the patients impose a low weight threshold on themselves.

5

What physical illness is associated with anorexia nervosa?

There is usually undernutrition of varying severity with secondary endocrine and metabolic changes and disturbances of bodily function.

6

What are the symptoms of anorexia nervosa?

restricted dietary choice, excessive exercise, induced vomiting and purgation, and use of appetite suppressants and diuretics.

7

What is atypical anorexia nervosa?

Disorders that fulfil some of the features of AN but which the clinical picture does not justify that diagnosis.

8

What is bulimia nervosa?

A syndrome characterized by repeated bouts of overeating and an excessive preoccupation with the control of body weight, leading to a pattern of overeating followed by vomiting or use of purgatives.

9

What key feature do bulimia nervosa and anorexia nervosa share?

Overconcern with body shape and weight

10

What is a common complication of bulimia nervosa?

Electrolyte disturbances and physical complications due to repeated vomiting

11

What is atypical bulimia nervosa?

Disorders that fulfil some of the features of bulimia nervosa, but in which the overall clinical picture does not justify that diagnosis.

12

What psychological disturbances can cause a pt to overeat?

Stressful events eg bereavement, accidents, childbirth

13

What are the 2 subtypes of anorexia nervosa?

-Restrictive
-Binge/purge

14

How do pts with AN lose weight?

-Ignore hunger
-Eat very little
-Compensate for what they have eaten

15

How can a pt with diabetes and AN lose weight?

Omit or reduce insulin doses, which can cause collateral damage

16

How common is AN?

10-30 per 100,000

17

How common in BN?

50-100 per 100,000

18

What are the different types of BN?

Purging and non-purging

19

What are some of the physical symptoms of AN?

-Dry skin
-Lanugo body hair
-Acrocyanosis
-Breast atrophy
-Hair thinning
-Peripheral oedmea

20

What CVS complications can AN cause?

Bradycardia
Hypotension
Decreased LV mass and abnormal systolic function
(Low K+ ->) Ventricular arrhythmia

21

What endocrine/metabolic complications can AN cause?

-Amenorrhoea
-Reduced fertility
-Euthyroid sick syndrome
-Osteopenia

22

What GI complications can AN cause?

Constipation

23

What is a common finding in prepubescent pts who develop AN?

Premorbid anxiety disorders