Feeding and Eating Disorders

Question 1

Anorexia

Answer 1

• BMI 17 or less
• Loss of at least 15% total body weight
• Low sodium, low potassium, low chlorine, elevated carbon dioxide
• Hypothermia, Bradycardia, Lanugo
• Distended abdomen, decreased bowel sounds

Question 2

Bulimia

Answer 2

• Most prevalent eating disorder
• Later onset than anorexia
• More at risk for suicide
• Eating behavior is ego-dystonic
• Death from hypokalemia or suicide
• Binge/purge at least once a week for three months
• Low sodium, low potassium, low chlorine, elevate4d carbon dioxide, Metabolic alkalosis
• Tachycardia, orthostatic hypotension
• Sialadenitis, Russell’s sign: scars on knuckles, dental carries
• Esophagitis, gastritis, pancreatitis

Question 3

Binge Eating Disorder

Answer 3

• Recurrent episode of one binge episode per week for 3 months

Question 4

Eating Disorders Management

Answer 4

• Antipsychotics to restore weight: Olanzapine
• Anxiolytics: SSRIs
• No bupropion
• Vyvanse for Binge eating; Wellbutrin/Naltrexone
• Hospitalization: BMI less than 16, Bradycardia less than 50 BPM, orthostatic hypotension, electrolyte abnormalities