Anorexia Bulimia

llbgurl's version from 2015-09-29 18:22


Question Answer
sleep patterns, eating, friendships, school performancechange in
bordem, agitation, bursts of anger, apathy, evasiveness, carelessnesschanges in personality
discouragement or disgust with affairs of the worldincreasing attitudes of
dissapointment and failuredifficulty accepting
share thoughts and feelingsno support system to
suicidal callsfor help
committing suicidetalking about ways of
prize possesions giving away
attempts at suicide previous
friends and family withdrawal
purposefull loss of weight to the point of being unhealthyAnorexia Nervosa
rare in preadoelscenceAnorexia Nervosa
peaks at 17 years but may be bimodal 14 & 18 yearsAnorexia Nervosa
onset often associated with stressful eventAnorexia Nervosa
90% females, industrialized socitiesAnorexia Nervosa
illness is variable - one episode or fluctuating pattern followed by relapse, some have chronic courseAnorexia Nervosa
mortality rate in chronic is 10%Anorexia Nervosa
refusing to maintain a minimally normal body weightAnorexia Nervosa
obsessed with thoughts of foodAnorexia Nervosa
less than 85% of norm for age and height weight loss
BMI less than or equal to 17.5 kg/m2weight loss
weight loss through dieting, fasting, excessive exerciseAnorexia Nervosa
afraid to gain weightAnorexia Nervosa
significant disturbance in perception of body shape/sizeAnorexia Nervosa
may be amenorrheicAnorexia Nervosa
depressed mood, social withdrawal, irritability insomnia, decreased interest in sexAnorexia Nervosa
obsessive-compulsive features r/t food, body shape or weightAnorexia Nervosa
family history of eating disorder, alcoholism or affective illnessAnorexia Nervosa
emaciation, hypotension/orthostasis, arrythmias, dry skin, cold, constipationAnorexia Nervosa
leukopenia and mild anemiaAnorexia Nervosa
elevated BUNAnorexia Nervosa
high cholesterolAnorexia Nervosa
elevated LFTsAnorexia Nervosa
metabolic acidosisAnorexia Nervosa
decreased thyroid levelsAnorexia Nervosa
low estrogen in males and femalesAnorexia Nervosa
ddx: gi, malignancy, HIV, depressive disorder, shizo, other psych issuesAnorexia Nervosa
prevention/identification those at riskfamily history, unusual preoccupation about weight or body image by child or parent
decrease emphasis on weight lossincreased emphasis on healthy eating habits through life span
healthy diet of 2000-3000 calorieswith high nutrition snacks
overfeedingDO NOT for rapid weight gain; goal to restore weight to within 10% of ideal body weight
behavior rxgoal to use external postive and negative reinforces to replace internal forces that are inappropriately controlling weight losses and gains
behavior rxpositive reinforcement, privleges, phasing in of diet
prokinetic agentsprovide relief from bloating feeling after eating
sedativesbenzo's/tranq to reduce anxiety


Question Answer
recurrent episodes of binge eating/purgingBulimia Nervosa
excessive amounts of food eating over brief period (2 hours), must occur at least TWICE a week for 3 or more monthsbinge eating
weight usually within normal range, person may be very counscious of weightBulimia Nervosa
person often sees self as out of control and lead to self-criticism or depressed moodBulimia Nervosa
bingeing is followed by compensatory mechanism in 80-90% of individualsBulimia Nervosa
vomiting through stimulation gag, syrup of ipecac, diuretics/laxitives, rare enemasBulimia Nervosa
industrialized countries, 90% females, 1-3% population, peak onset late adolescence or early adulthoodBulimia Nervosa
chronic or intermittent Bulimia Nervosa
normal weight range, may be over or under weightBulimia Nervosa
dental carries and loss of dental enamelBulimia Nervosa
menstrual irregularities or amenorrheaBulimia Nervosa
esophageal tears, gastric rupture, arrythmiasBulimia Nervosa
family history of obesityBulimia Nervosa
hypokalemia, hyponatremia, hypochloremia, metabolic acidosisBulimia Nervosa
kleine-Levin-Syndromedisturbed eating behavior without over concern for body weight or shape
ddx: anorexia, major depressive disorder, kleine-levin syndrome, borderline personalityBulimia Nervosa
major depressive disorderovereating without compensatory mechanisms
borderline personalityimpulsive behavior criterion
realign calories into more nutritionally sound patternBulimia Nervosa
Tx: fluoxetine high dosesBulimia Nervosa
prokinetic agentsBulimia Nervosa