Module 2 NU620 Flashcards
A. Persistent eating on nonnutrivitve, nonfood substance over a period of at least 1 month.
B. The eating of nonnutrivive, nonfood substance is inappropriate to the developmental level of the individual.
C. The eating behavior is not part of a culturally supported or socially normative practice.
D. If the eating behavior occurs in the context of another mental disorder or medical condition, it is sufficiently severe to warrant additional clinical attention.
PICA
A. Repeated regurgitation of food over a period of at least 1 month. Regurgitated food may be re-chewed, re-swallowed, or spit out.
B. The repeated regurgitation is not attributable to an associated gastrointestinal or other medical condition.
C. The eating disturbance does not occur exclusively during the course of anorexia nervosa, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder.
D. If the symptoms occur in the context of another mental disorder, they are sufficiently severe to warrant additional clinical attention.
Rumination Disorder
A. An eating or feeding disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one of the following:
1. Significant weight loss.
2. Significant nutritional deficiency.
3. Dependence on enteral feeding or oral nutritional supplements.
4. Marked interference with psychosocial functioning.
B. The disturbance is not better explained by lack of available food or by an associated culturally sanctioned practice.
C. The eating disturbance does not occur exclusively during the course of anorexia nervosa or bulimia nervosa, and there is no evidence of a disturbance in the way in which one’s body weight or shape is experienced.
D. The eating disturbance is not attributable to a concurrent medical condition or not better explained by another mental disorder, the severity of the eating disturbance exceeds that routinely associated with the condition or disorder and warrants additional clinical attention.
Avoidant/restrictive food intake disorder
A. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or , for children and adolescents, less than that minimally expected.
B. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.
C Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight
Anorexia Nervosa Mild BMI less then equal to 17 Moderate BMI 16-16.99 Severe BMI 15-15.99 Extreme BMI less then 15
Individuals with anorexia nervosa also display a fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, as well as specific disturbances in relation to perception and experience of their own body weight and shape. These features are not present in?
Avoidant/Restrictive Food Intake Disorder
Unlike individuals with anorexia nervosa, these individuals maintain body weight at or above a minimally normal level
Bulimia nervosa
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1. Eating, in a discrete period of time, an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances.
2. A sense of lack of control over eating during the episode.
B. Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months.
D. Self-evaluation is unduly influenced by body shape and weight.
E. The disturbance does not occur exclusively during episodes of anorexia nervosa.
Bulimia nervosa Mild 1-3 per week Moderate 4-7 per week Severe 8-13 per week Extreme 14 or more per week
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1. Eating, in a discrete period of time, an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
2. A sense of lack of control over eating during the episode.
B. The binge-eating episodes are associated with three of the following:
1. Eating much more rapidly than normal
2. Eating until feeling uncomfortably full
3. Eating large amounts of food when not feeling physically hungry
4. Eating alone because of feeling embarrassed by how much one is eating.
5. Feeling disgusted with oneself, depressed, or very guilty afterward.
C. Marked distress regarding binge eating is present
D. The binge eating occurs ,on average, at least once a week for 3 months
E. The binge eating is not associated with the recurrent use of inappropriate compensatory behavior as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.
Binge-eating disorder Mild 1-3 per week Moderate 4-7 per week Severe 8-13 per week Extreme 14 or more per week
Mild anemia and Leukopenia occurs in this condition
Anorexia Nervosa
Dehydration as indicated by BUN. Hypercholesterolemia. Elevated liver enzymes. Hypomagnesemia, hypozincemia, hypophosphatemia, and hypermylasemia. In extreme cases metabolic alkalosis (elevated serum bicarbonate), hypochloremia, and hypokalemia; laxative abuse may cause a mild metabolic acidosis.
Anorexia Nervosa
T4 levels are usually in the low normal range, T3 levels are decreased, reverse T3 is elevated. Females have low serum estrogen levels and males have low levels of serum testosterone.
Anorexia Nervosa
Sinus bradycardia is common, prolonged QTc is observed in some individuals
Anorexia Nervosa
Low bone mineral density, with specific areas of osteopenia or osteoporosis is often seen
Anorexia Nervosa
Diffuse abnormalities, reflecting a metabolic encephalopathy, may result from significant fluid and electrolyte disturbances
Anorexia Nervosa
Amenorrhea is commonly present and appears to be an indicator of physiological dysfunction. In prepubertal females, menarche may be delayed. In addition to amenorrhea, there may be complaints of constipation, abdominal pain, cold intolerance, lethargy, and excess energy.
Anorexia Nervosa
