Term
| Extremely thin, amenorrheic teenage girl whose mom says she eats very little, does aerobics for 2 hrs/day and ritualisitically does 400 situps/day, 500 if she has overeaten |
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Definition
| Anorexia
-2 main types (restrictive with eating very little and exercising too much and binge eating/purging type that is more associated with depression and substnace abuse) |
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Term
| What are the DSM criteria for Anorexia nervosa? |
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Definition
-Body weight at least 15% below normal
-intense fear of gaining weight or becoming fat
-disturbed body image
-amennorhea |
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Term
| What are the physical findings and complications of eating disorders? |
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Definition
-amenorrhea
-electrolyte abnormalities (hyperkalemic)
-hypercholesterolemia
-arrhytmias
-cardiac arrest
-lanugo
-melanosis coli (darkened are of the colon secondary to laxative abuse)
-leukopenia
-osteoporosis
tx: patients may be tx'd as outpatients unless they are more than 20% below IBW, in which case they should be hospitalized
-tx: behavioral tx, family tx, and supervised weight-gain programs |
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Term
| What are the physical signs bulimia nervosa? |
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Definition
| Hypochloremic hypocalemic metabolic alkalosis, dental erosion, calloused knuckles, salivary gland hypertrophy |
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Term
| What are the DSM criteria for bulimia? |
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Definition
-recurrent episodes of binge eating
-inappropriate attempts to compensate for overeating and to prevent weight gain (laxative abuse, purging, diuretics)
-Occurs for atleast 2/week for 3 months
-perception of self-worth is excessively influenced by body weight and shape
tx: psychotherapy, CBT, SSRIs |
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