Eating Disorders Flashcards
What are the two main eating disorders?
Anorexia nervosa
Bulimia nervosa
Give the diagnostic criteria required for anorexia nervosa
BMI < 17.5 Deliberate self-induced weight loss Body image disturbance Fear of fatness Amenorrhoea
What may the physical assessment of a patient with anorexia show?
Muscle wasting Hair loss/lanugo hair Cold peripheries Dry skin Xanthoderma Bradycardia Bruising
What may psychological assessment of an anorexic patient show?
Depression
OCD
Substance misuse
Give some clinical signs of high risk anorexia
BMI <13 HR <40 or sBP < 80 Core temp <34 Unable to rise from squat Cognitive impairment
What investigations may be done for anorexic patients?
Haematology
Biochemistry
ECG
DEXA
What occurs in refeeding syndrome?
There is depletion of already inadequate stores of nutrients as the body repairs itself
Give some management techniques that may be used for anorexia patients
CBT
Dietitian
Art/drama/family therapy
Outline the diagnostic criteria for bulimia nervosa
Persistent preoccupation with eating
Irresistible food cravings
Binges and effects to counter them
Fear of fatness
Give examples of what may be seen in the physical assessment of a bulimic patient
Calluses on knuckles (Russell’s sign)
Parotid hypertrophy
Dental caries
Give examples of what may be seen in the psychological assessment of a bulimic patient
Depression
Self-harm
Substance misuse
Impulsive personality
Give some medical complications of bulimia nervosa
Hypokalaemia
Oesophageal reflux/tears
Subconjunctival haemorrhage
Missing dentition
How can bulimia nervosa be managed?
CBT
SSRI
