W14_03 eating disorders in teens Flashcards Preview

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Flashcards in W14_03 eating disorders in teens Deck (18)
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1
Q

note: eating disorders is not about food or slimness

A

it’s about power, self-worth, and personal effectiveness

2
Q

define anorexia nervosa

A

intense fear of weight gain, so there’s restrictive eating/compensatory behaviours

3
Q

define bulimia nervosa

A

binge eating/purging (compensatory behaviours)

4
Q

note: diabetic teen girls are more likely to have an eating disorder and stop their insulin for weight loss than non-diabetics

A

ok

5
Q

define drunkorexics

A

subtract the calories they get from binge drinking from their daily recommended food intake and then go binge drink

6
Q

what percentage of people with anorexia nervosa die from it?

A

20 percent

7
Q

what’s the BMI for mild anorexia nervosa? Extreme anorexia nervosa?

A

< 17 mild;
<15 extreme;
note that adolescents should be charted on different BMI curves - 17 BMI may be normal in a teenage girl

8
Q

what’s lanugo?

A

fine hair babies are born with

9
Q

what’re signs of anorexia?

A

emaciation;
lanugo;
hypothermia;
starvation edema;
bradycardia;
cardiac arrhythmias;
evidence of osteoporosis;
cartenemia: vit A

10
Q

what are some compensatory behaviours of anorexics?

A

exercise;
vomiting;
laxatives;
diuretics;
stimulants;
thyroid replacement;
energy drinks

11
Q

what’s russell’s sign?

A

callouses on the knuckles of hands from putting fingers down throat

12
Q

what are some signs of anorexia?

A

russell’s sign;
dental enamel erosion;
parotid gland enlargement;
bloodshot eyes;
electrolyte changes

13
Q

what’s the athletic triad

A

anorexia nervosa;
amenorrhea;
osteoporosis

14
Q

what’s the SCOFF screening for eating disorders?

A

do you feel Sick from being uncomfortably full;
lost Control over portion size;
lost Over 15 pounds in 3 months;
do you feel Fat when others don’t think so;
does Food dominate your life

15
Q

note there’s a large DDx for sudden weight loss, that go in the list with anorexia

A

ok

16
Q

what’s the set point theory?

A

the body is biologically programmed to weigh a certain amount, and is buffered to something within 18-25

17
Q

what happens to Na, PO4, K, Mg during starvation?

A

Na goes up (causes edema);
PO4, K, Mg go down

18
Q

what are red flags of weight loss that are cause for admission to hospital?

A

bradycardia < 35.6 C

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