Eating Disorders - Hill Flashcards Preview

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Flashcards in Eating Disorders - Hill Deck (15):
1

Major psych emergency w/ bulimia and anorexia

Suicidality

2

Excessive dieting, exercise, and intense fear of gaining weight. Distorted body image. Amenorrhea, metatarsal stress fractures, osteoporosis.

Electrolyte disturbances?

Cellular disturbances?

Do NOT to what with them?

Anorexia nervosa

Hypokalemia, hypophosphatemia, hypomagnesemia

Pancytopenia

Re-feeding syndrome (insulin spike --> hypokalemia)

3

Anorexia -- MC associated psych disorders... (2)

OCD***
Depression***
Dysthymic, personality disorders, other

4

Anorexia - treatments (2)

Nutritional rehabilitation
Psychotherapy

5

Anorexia - when is hospitalization necessary?

Starvation symptoms, resistance to food, suicidal, severe psychosocial barriers to care

6

Anorexia - drugs to avoid

Bupropion (seizure risk)
TCAs (cardiotoxicity)

7

Anorexia - drug options

Olanzapine (weight gain)
Lorazepam (anxiety reduction w/ eating)
SSRIs (depression)

8

Binge eating + self-induced vomiting or laxatives or diuretics, normal OR abnormal body weight, at least 2 times per week for 3 months

Bulimia nervosa

9

Russel's sign

Scar/callus on dorsum of hand - Bulimia

10

Major medical complications of bulimia

Electrolyte issues from vomiting and not digesting (like AN)

Mallory-Weiss tears

Salivary gland hypertrophy

Tooth enamel erosion

11

Comorbidities of bulimia (psych)

Anxiety, mood disorder, substance use disorders

12

Treatments for bulimia (psych)

Psychotherapy - CBT***
Nutritional rehab

Antidepressants - FLUOXETINE

13

Drug to avoid in bulimia

Bupropion - seizure risk

14

Episodes of abnormal binge eating without the compensatory purging. Lack of control over eating.

Treatments?

Binge eating disorder


Psycotherapy (CBT, interpersonal therapy)
***Vyvanse (lisdexamfetamine)

15

Binge eating disorder - drugs to avoid

Anti-obesity drugs -- not effective, bad side effects