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Flashcards in eating disorders Deck (17)
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1
Q

outside range of normal; accompanied by anxiety, guilt; result in physiologic imbalances, medical complications

A

eating disorder

2
Q

An eating disorder characterized by the patient’s inability refusal or inability to maintain a minimally normal body weight, intense fear of gaining weight or becoming fat, significantly disturbed perception of the shape or size of the body, & steadfast inability or refusal to acknowledge the existence or seriousness of a problem

A

anorexia nervosa

3
Q

An eating disorder characterized by recurrent episodes ( at least twice a week for 3 months) of binge eating followed by inappropriate compensatory behaviors to avoid weight gain such as purging ( self-induced vomiting or use of laxatives, diuretics, enemas, or emetics) fasting, or excessively exercising

A

bulimia nervosa

4
Q

Consuming a large amount of food ( far greater than most people eat at one at one time) in a discrete period of usually 2 hours or less

A

binge eating

5
Q

Ritualistic or repetitive behaviors the patients carries out continuously in an attempt to neutralize anxiety

A

compulsive overeating

6
Q

how do eating disorders occur in people?

A
  • disruptions in the nuclei of the hypothalamus
  • genetic vulnerability
  • neurochemical changes (norepinephrine, serotonin)
7
Q

An extreme discrepancy between one’s body image & the perceptions of other & extreme dissatisfication with one’s body image.

A

body image disturbance/dissatisfaction

8
Q
  • denial
  • amenorrhea
  • bmi less than 17.5
  • pre occupied with food, dieting, and exercise
A

anorexia nervosa

9
Q

what are s/s of anorexia?

A

constipation, sensitive to cold, lanugo hair on body, hair loss, dry skin, dental caries, pedal edema, bradycardia, enlarged parotid glands and hypothalamus, electrolyte imbalance, dry yellowish skin, difficulty maintaining body temperature, Cachectic appearance,

10
Q

What types of laboratory test would you see with anorexia?

A

Anemia & leukopenia with lymphocytosis; thrombocytopenia
Possible impaired liver function
Hypoalbuminemia
Elevated blood urea nitrogen ( dehydration)
Abnormal blood glucose level

11
Q

Psychopharmacology Anorexia Nervosa

A

amitriptyline, cyproheptadine, olanzapine, fluoxetine

12
Q

Recurrent episodes of TRIGGER → BINGING EATING → (secretive,guilt, disgust); → PURGING

A

Bulimia Nervosa

13
Q

What signs should you monitor for with purging?

A
Callus on “preferred” finger
Hoarseness, GERD
Teeth enamel erosion/cavities
Swollen parotid glands
Inflammation of esophagus
14
Q

what are the signs of bulimia?

A

Signs of bulimia include (A) irritation and inflammation of the pharynx as well as the esophagus from chronic vomiting and (B) erosion of the lingual surface of the teeth, loss of dental enamel, periodontal disease, and extensive dental caries

15
Q

What laboratory and diagnostic test would you notice with a person with bulimia nervosa?

A

Hypokalemia Hypochloremia
Anemia
Hyponatremia Hypomagnesmia Decreased estrogen(women)
Decreased testosterone (men)

16
Q

treatment for bulimia nervosa

A

Antidepressants

17
Q

inability to control overeating plus guilt feeling; no compensating behaviors to prevent weight gain

A

binge eating disorder