Psychiatry and the GI Tract Flashcards Preview

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Flashcards in Psychiatry and the GI Tract Deck (16):
1

What defines anorexia nervosa

The fear of becoming fat
Taking extreme measures to lose weight

2

What is significant weight loss (BMI)

17.5

3

How do patients with anorexia nervosa lose weight

Avoid fattening foods
Progressive dietary restriction
Calorie counting / excessive weighing
Self induced vomiting
Diuretics / Laxative
Excessive exercise - until over 30% body weight lost

4

What do many females also present with ?

Amenorrhoea (loss of periods)

5

What is the main difference between anorexia nervosa and bulimia nervosa

Binge eating is present in bulimia nervosa - there are periods where they engage in uncontrollable binge eating

6

If a bulimic patient has a BMI of less than 17.5, what do we reclassify them as?

Anorexics

7

What depressive symptoms may also present with Anorexia Nervosa

Low mood
Social withdrawl
Insomnia
Concentration difficulties
Pessimism

8

What are 3 types of personality disorder

Emotionally unstable
Anankastic
Avoidant / Anxious

9

If a patient has a personality disorder, what might they also have?

An eating disorder

10

What is the main aim for the treatment of eating disorders

Weight gain
depression
focus on low self esteem, binds of perfectionism, alternative strategies to deal with stress

11

What psychological interventions may be used?

Psychoanalytic Psychotherapy
Cognitive Behavioural Psychotherapy
Family therapy

12

What is somatisation

When patients present with pain but nothing is found organically. The mind triggers pain for no reason. Medically unexplained

13

What are 2 side effects of Tricyclics (TCAs)

Dry mouth
Constipation

14

What do tricyclics do?

Enhance monoamine activity in th ebrian

15

What are 4 side effects of selective serotonin reuptake inhibitors (SSRIs)

Nausea
Vomiting
Diarrhoea
ABdominal cramps

16

What is the most unwanted side effect of an antipsychotic?

Weight gain
Reduced metabolic rate
Raised prolactine - promotes adipose tissue deposition

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