Psych Eating DOs/Abuse/Dementia Flashcards
(57 cards)
what is the definition of obesity
BMI 30 kg/m2 or greater OR body weight 20%> over the ideal weight
about 50% of patients with obesity experience what?
binge eating episodes
what are the four different management options for obesity?
1) . behavior modification
2) . medical therapy: depends on condition, i.e. antidepressants if underlying depression
3) . anti-obesity meds: ORLISTAT or LORCASERIN
4) . surgical options
how does orlistat work?
decreases GI fat digestion
how does Lorcaserin work?
serotonin agonist
obesity screening guidelines
screen all adults and children age 6 years and older
what is bulimia nervosa?
eating disorder characterized by frequent binge eating combined with compensatory behaviors to prevent weight gain
patients with bulimia usually maintain a __________ weight and compensatory behaviors are ________
normal weight
ego-dystonic = troublesome to the patient
3 possible signs on exam for a pt with bulimia
1) . Teeth pitting or enamel erosion (from vomiting)
2) . russell’s sign: calluses on the dorsum of the hand from self-inducing vomiting
3) . parotid gland hypertrophy
what is a lab finding indicative of bulimia?
increased amylase (salivary gland hypertrophy and vomiting) *maybe metabolic alkalosis from vomiting
diagnostic criteria for bulimia (3)
1). recurrent episodes of someone eating more than a normal person would in 2 hr period- occurs AT LEAST WEEKLY FOR 3 MOs
2). purging vs non-purging:
purging: self-induced vomiting, diuretic/laxative abuse
non-purging: reduced calorie intake, dieting, fasting
3). perception of self-worth is excessively influenced by shape and body weight
management of bulimia
- psychotherapy + pharm
- pharm: FLUOXETINE/PROZAC (reduces binge-purge cycle)
definition of anorexia
failure to maintain a normal body weight, fear and preoccupation with body weight/image
**BMI <17.5 OR body weight <85% of ideal weight
which psych DO has the highest mortality rate?
Anorexia
people with anorexia are often at a ________ weight and behavior is ________
low weight
ego-syntonic: behaviors are acceptable to them and in harmony with self-image
what are the two main types of anorexia?
1) . restrictive type: strict, reduced calories, dieting, fasting
2) . binge eating/purging: self induced vomiting and diuretic/laxative abuse
PE signs of anorexia
emaciation, hypotension, bradycardia, skin or hair chages, dry skin, salivary gland hypertrophy, amenorrhea, ostepenia
3 diagnostic criteria for anorexia
1) . restriction of calorie intake leading to significantly low body weight
2) . intense fear of fatness or gaining weight
3) . distorted body image
4 ways to manage anorexia
1) . medical stabilization: hospitalization for <75% expected body weight or pts with medical complications
2) . nutritional rehab: refeeding syndrome can occur with this (LOW Phosphorus)
3) . psychotherapy
4) . pharmacotherapy: if depressed, SSRIs (may also help with weight gain)
what is child neglect? signs of it?
failure to provide the basic needs of a child (supervision, food, shelter, affection, education)
-signs: malnutrition, withdrawal, poor hygiene, and failure to thrive
how many females under 18 have experience sexual abuse?
1/4-1/3 of female children
what is the normal age range for sexual abuse?
9-12
who are the most common perpetrators for sexual abuse?
most commonly males and most are relatives to the child or known to child
signs of child abuse
children that exhibit sexual knowledge, initiate sex acts with peers, show knowledge of sexual acts or injury to genital areas
