Term
| What is the definition of anorexianervosa? |
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Definition
Refusal to maintain body weight at or bove a minimally normal weight of age and height (weight oss or failure to gain weight normally leading to <85% of expected weight)
In postmenarchal females, amenorrhea for 3+cycles/months |
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Term
| What are the criteria for bulimia? |
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Definition
Two episodes of binge eating for 3 months
Recurrent compensatory behavior: purging, laxatives, diuretics, enemas, etc. |
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Term
| What is the definition of eating disorder NOS? |
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Definition
| It's basically a catch-all the other disorders realted to food. |
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Term
| What is the most commonly diagnosed eating disorder? |
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Definition
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Term
| What's the lifetime prevalence of anorexia? Bulimia? |
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Definition
AN: .9% women, .3% men
BN: 1.5% men, .5% men |
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Term
| What types of peoples get eating disorders? |
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Definition
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Term
| What makes someone especially vulnerable to eating disorders? |
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Definition
Genetic predispositions
Serotonin dysfunctions
Dieting
Psychological conflicts about development |
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Term
| What are the genetics of eating disorders? |
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Definition
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Term
| What are the psychosocial risk factors for eating disorders/ |
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Definition
Early, severe dieting
Childhood anxiety disorders
Sexual abuse |
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Term
| What is the course of AN? |
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Definition
50% recovery
10-20% remain chronically ill
16% die. |
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Term
| What are comorbid disorders to AN? |
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Definition
Affective disorders: 50-80%
Anxiety; 30-60%
Substance abuse
Personality disorders: 42-75% |
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Term
| What are the effects of anorexia on the body? |
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Definition
Decreased cold tolerance
Decreasein libido
Physical changes
Persistence of abnormal behaviors related to food |
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Term
| What is required for recovery from eating disorders? |
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Definition
Normalize diet
Psychological treatment |
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Term
| What are the medical complications of AN? |
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Definition
Growth disturbances
Osteperosis
Suicide
Lowered olfactory, gustatory sensitivities
Permanent brain changes/atrophy
Ankle edema
CV issues
GI issues
Endocrine issues |
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Term
| What is refeeding syndrome? What abnormalities are present? |
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Definition
After you're started, having problems with adjusting back to normal eating
Compartmental shifts of electrolytes (K, PO4, Mg). In particular hypophosphatemia are bad |
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Term
| What is the main cause of death in refeeding syndrome? |
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Definition
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Term
| What are the medical complications of BN? |
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Definition
Dental problems
GI problems: esophageal rupture |
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Term
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Definition
95% before 25
Rare before puberty
Average age is 12 |
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Term
| What are early warning signs of AN? |
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Definition
Diet books
Picky eating
Multiple showers a day
Food missing |
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Term
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Definition
Emanciation
Lanugo
Bradycardia
Hypotension
Brittle hair,nails
Ankle edema |
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Term
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Definition
Salivary gland hypertrophy
Peridontal disease
Calluses on the back of the hand
Abdominal bloating |
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Term
| What is the differential diagnosis fo AN? |
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Definition
DM
Colitis
Thyroid disease
Addison's disease
Brain tumors |
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Term
| What is the differential diagnosis of BN? |
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Definition
Neurologic disorders
GI conditions
Hormonal problems |
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Term
| What is the treatment for eating disorders? |
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Definition
Restore weight, menses
Follow up!
THERAPY!
DON'T GIVE PSYCHOTROPICS |
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