Eating Disorder quiz 2

ED has the _________ mortality rate of any mental illness; has to do with the fact that nobody is paying attention and by the time someone does notice it can be too late.

highest

anorexia has the ________ mortality & suicide rate of any psychiatry disorder

highest

The fat on the body of a female helps with regulating the menstrual cycle; loss of fat is bad for the _______

hormones

Female teenagers are going to be ____________ to what is going on in society.

hypersensitive

lose the hydrochloric acid in the stomach (NOT good), if we lose the acid in the stomach there is an increased absorption of sodium

hypochloremic alkalosis with vomitting

blood potassium levels and if they are elevated that indicated kidney function

hypokalemia

blood pressure that is less than or equal to 90 over 50 (normal 120/80)

hypotension

oNo normal menstrual cycle oLots of miscarriage rates oLow estrogen levels and progesterone oUsually an accident

infertility

what are the two complications of reproduction with anorexia nerovosa?

infertility, low birth weight

oEstablishing a therapeutic relationship with both patient & family oRestoration of weight between ideal BW and patient's ideal BW oProvision of a balanced diet, goal of gaining 0.5-1kg/week oElimination of compensatory behaviors

inpatient treatment

how to be socially aware how to act in social situations

interpersonal therpay

factor that is internal motivation

intrinsic

how does lanugo hair act as a defense mechanism?

keep the temperature regulated

Protein and urinalysis- check _______ function

kidney

chronic memory disorder cause by the deficiency of thymine; motor skills thrown off;

korsakoff syndrome

The disturbance in AFRID is not better explained by ______ of available food or by an associated culturally sanctioned practice.

lack

with UFED, when the clinician chooses not to specify the reason that criteria are not met for a ________ feeding and eating disorder.

specific

a ratio between the observed number of deaths in a study population and the number of deaths would be expected. SMR for Anorexia Nervosa is 5.86

standardized mortality ratio

what can x-rays be used for when tyring to diagnose AN?

stress fractures

The consumption of objectively minimal amounts of food in a defined period with a perception of loss of control.

subjective bulimic episdoe

What the subject is recorded

subjective component

Anorexic: among women, lifetime prevalence is approximately _________

1%

anorexic: less common in males (_______:________)

1, 10

what are some risk factors of AFRID?

1. autism spectrum 2. children with extremely picky eating at an early age (can develop another eating disorder if not treated) 3. individuals with anxiety disorders

what are some of the health consequences of AFRID?

1. body slows down all processes to conserve energy 2. does not let the body grow as it should 3. not going to grow the same pattern they should and are underweight 4. increase electrolyte imbalances which will increase cardiac arrest

what are warning signs of binge-eating disorder?

1. emotional and behavior swings 2. physical fluctuations in weight 3. GI issues (cramping, bloating, constipation)

_________ of American women suffer from bulimia nervosa in their lifetime.

1.5%

Nearly 1 in _____ bulimia patients have a comorbid substance abuse disorder, usually alcohol use.

10

what is the percentage of co-morbidity rates for obsessive-compulsive disorder and eating disorders?

10-13% (25% in AN)

Mortality rate is ____________ % (complication of starvation or suicide) (remember the comorbidity)

10-20%

what is the percentage of co-morbidity rates for bipolar disorder and eating disorders?

12%

what is the percentage of co-morbidity rates for substance abuse and eating disorders?

12-18% (AN); 30-37% (BN)

in binge eating disorder, eating in a discrete period of time (e.g. within any _______ hour period), an amount of food that is definitely __________ than what most individuals would eat in a similar period of time under similar circumstances

2; larger

At least ________ million people worldwide of all ages and genders suffer from eating disorders

30

____________ of anorexia patients have a comorbid mood disorder, such as depression.

33-50%

398 children and adolescents survey and _________ of them use compensatory behavior or more than one behavior; not a good trend as they start to age because they already know the behaviors as being young.

38%

About __________ of females and _______ of males with type 1 diabetes have disordered eating behaviors.

38%; 16%

what is the percentage of co-morbidity rates for anxiety and eating disorders?

43%

1 and _______ anorexia deaths are by suicide

5

Among dieters, ________ become abnormally preoccupied with dieting and slimness.

5-10%

what is the percentage of co-morbidity rates for depression and eating disorders?

50-75%

__________ of the risk for anorexia and bulimia is genetic

50-80%

Objectively this is a binge of unnormal amount foods; __________ to ________calories in one sitting;

5000, 10,000

Brain needs ___________ grams for carbohydrates in order to run

60-120

_______ of all bulimics have a near-normal BW

64%

About _____% of bulimics who receive treatment achieve remission within three months.

80

A feeding or eating disturbance (e.g. lack of apparent interest in eating food; avoidance based on the sensory characteristics of food;

AFRID (avoidant/ restricitive food intake disorder)

Rumination disorder may exist part of active _____ or _____ or as a sole diagnosis

AN; BN

what are the questionnaires dealing with body image dysfunction?

Aesthetics model; body shape questionnaire

_______ could have a higher incidence of pica occuring

Autism

what are the GI issues with anorexia nervosa?

Constipation Decreased intestinal mobility Delayed gastric emptying Gastric dilation and rupture

what are EMR complications from anorexia nervosa?

Delayed puberty Amenorrhea Anovulation- without ovulation Low estrogen states Increased growth hormones Decreased ADH Hypothermia Hypokalemia, hyponatremia Hypercortisolism Osteporosis- direct connection with low body weight and early onset Decreased gonadotropin levels

what are the complications of integumentary with anorexia nervosa?

Dry skin and hair Hair loss Lanugo hair/hypertrichosis oA genetic thing

what are some widely used self-reporting questionnaires?

EAT (26), EDI (3), Bulit-R (bulimia);

what are routine laboratory tests for eating disorders?

EKG, CBC with diff, TSH, liver function tests, urine drug screen, pregnancy test,

what are athlete specific self-report questionnaires?

FAST, AMDQ

ravenous hunger or ox-hunger (Latin); they can go up and down in weight; they look like nothing is going on;

bulimia nervosa

Institutional review board, protect the participants during the study

IRB

When the body begins to break down it causes a loss to electrolytes (____________ , ____________, and __________),

K, Mg, P

Symptoms characteristic of a feeding or eating disorder that cause clinical distress or impairment in social, occupational, or other important areas of functioning predominate.

OSFED

disruption in heart rhythm

Supraventicular & ventricular dysrhythmia-

Symptoms characteristic of a feeding and eating disorder & cause clinical significant distress or impairment in social, occupational or other important areas of functioning predominate.

UFED

why does the salivary gland enlargement occur in anorexic nervosa?

happens due to nutritional deficiency and/or bizarre eating habits

Due to the limitations of questionnaires some feel that interviews maybe more ___________

accurate

oPainless persisted blue discoloration of digits;

acrpcuanosis of digits

ED start to develop in ______________ in childhood and move onto something more if not properly treated.

adolescents

in anorexia: there is higher incidence in families with an ________ member

affected

what do we look at to evaluate severe weight loss?

age, height, weight, sex

pica is found across ________ ethnic groups, and socioeconomic backgrounds

all

what is diabulimia classified as?

an OSFED

deficiecny of RBC or hemoglobin

anemia

Complex eating disorder characterized by obsessive pursuit of thinness through dieting with extreme weight loss and disturbance of body image.

anorexia nervosa

loss of appetite (Latin) ; starving themselves on purpose; they are hungry, but they refuse the food;

anorexia nervosa

in what eating disorder, they will stack their compensatory behaviors to achieve their body type;

anorexic

The body looks for muscles to feed on because of the lack of calories and we need the cardiac and skeletal muscle; can have ________; (body starts to eat itself from a cellular level with the restriction of food);

atrophy

anorexic: •Prevalent where food is plentiful and thinness viewed as __________

attractive

what are examples of OSFED?

atypical anorexia nervosa, bulimia nervosa, binge-eating disorder, purging disorder, nigh eating syndrome

all of the criteria for anorexia nervosa are met, except that despite significant weight loss, the individual's weight is within or above the normal range.

atypucal anorexia nervosa

when an NG needs to be used for an inpatient treatment it is a big issue and comorbidity is _______

high

What behaviors are they displaying, or is there a behavior that intensifies the dissatisfaction or disturbance

behavioral component

3 or more episodes of binge eating followed by 1. feeling uncomfortable full 2. ate faster than normal 3. eating when not hungry 4. feelings of disgust, guilt, or sadness (emotional drive for bulimia) 5. eating alone out of embarrassment

binge eating

Eating an extremely large amount of food in a short period of time. The person recognizes their loss of control during this period.

binge eating

Recurrent episodes of binge eating

binge eating disorder

of low frequency and/or limited duration): all of the criteria for binge-eating disorder are met, except that the binge occurs, on average, less than once a week and/ or for less than 3 months. •Frequency is not as much/ not often

binge-eating disorder (OSFED)

oDuring the last three months the individual has engaged in recurrent episodes of binge eating or purging behaviour (i.e. self-induced vomiting, or the misuse of laxatives, diuretics, or enemas). •They are still low weight and not their normal weight •Not a healthy weight With bulimia they are normal weight

binge-eating/purging type anorexia nervosa

what are some physical features of bulimia nervosa?

bloating/irregular bowel function, signs of dehydration and dry skin, damaged teeth and gums, depression/anxiety, bad breath, constant dieting, mallory weiss tears

At some point during the course of the disorder, the individual has performed repetitive behaviours (e.g., mirror checking, excessive grooming, skin picking, reassurance seeking) or mental acts (e.g., comparing his or her appearance with that of others) in response to the appearance concerns.

body dysmorphic

Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.

body dysmorphic disorder

The individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular. This specifier is used even if the individual is preoccupied with other body areas, which is often the case.

body dysmorphic disorder

dissatisfaction and disturbance

body image perception

disruption of heartbeat

bradycardia

heartrate less than or equal to 60 beats per minute

bradycardia

Clinicians should anticipate dysfunction of every organ system and evaluate indicators of those systems

break

Go to slide 20-23 in additional eating disorders to study Orthorexia nervosa

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If you put too much food in you could cause many problems within the body,

break

In a longitudinal study, diabulimia increased mortality risk threefold.

break

Statistics show that approximately half of all persons with bulimia will fully recover with appropriate treatment oAnother 30% will experience a partial recovery o10% to 20% will continue to battle symptoms.

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go to slide 19 in assessment powerpoint

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go to slide 2 in assessment to look at diagram

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go to slide 22 to look a diagram in assessments

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go to slide 36 is anorexia and bulimia to look at the bulimic cycle

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with OSFED, this is done by recording "other specified feeding or eating disorder" followed by the specific reason e.g. "bulimia nervosa- low frequency"

break

Complex eating disorder characterized by alternating episodes of binging and purging. oFeelings of loss of control oUse laxatives or vomiting to prevent weight gain

builimia nervosa

Anorexia does full body damage while ________wont do as much damage

bulimia

in what eating disorder, their main behavior is the vomiting, or the purging; (tend to be secretive)

bulimia

(of low frequency and/or limited duration): all of the criteria for bulimia nervosa are met, except that the binge eating and inappropriate compensatory behaviors occur, on average, less than once a week and/ or for less than 3 months. •Use the compensatory behaviors randomly

bulimia nervosa

what are physical features of anorexia nervosa?

cardiac and skeletal system are affected, constipation, amenorrhea, vital signs (bradycardia, hypotension, mild hypothermia), lanugo hair, salivary gland enlargement,

what are some medical consequences to bulimia nervosa?

cardiac complications, edema, loss of K, Na, Cl; ulcers, esopheageal inflammation

damage to the heart (heart has to work harder to pump blood to the rest of the body)

cardiomyopathy

lost electrolytes which could affect the heart leading to __________

chest pain

what can electrocardiogram be used for when tyring to diagnose AN?

chest pain, heart rhtythm, and any flutters,

o linking emotion to the trigger and why it is happening

cognitive behavior therapy

•Therapy that have a variety of techniques to help the individual understand the interaction between thoughts, feelings, and behaviors. •To improve mood and emotions without extreme reactions

cognitive behavior therapy

what are the counseling practices?

cognitive behavior therapy, family-based therapy

what are the assessment/ interview skills that can help develop a more effective interview?

comfort, absence of value judgements, avoiding penalization, being constructive, emotional control

what are the psychotherapies for anorexia nervosa?

counsling, medications

Anorexia has the __________ mortality risk of any psychiatric disorder

highest

the rate of how your kidney are working

decreased glomerular filtration rate

Do not want the metabolic processes to ________ the body essentially;

destroy

Control their weight through insulin

diabulimia

deliberate insulin underuse in people with type 1 diabetes for the purpose of controlling weight.

diabulimia

Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months. Self-evaluation is unduly influenced by body shape and weight. The disturbance does not occur exclusively during episodes of anorexia nervosa.

diagnostic for BN

oEating in a discrete period of time (e.g. within any 2 hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances; oA sense of lack of control over eating during the episodes (e.g. a feeling that one cannot stop eating or control what or how much one is eating

diagnostic for BN

what are some parameters that we can observe in the sports context?

dieting, compensatory behaviors, binge eating- excessive exercise, organic problems, body image, emotional triagnel

what are 2 factors that increase accuracy for clinical interviews?

direct contact (interviews); utilize open-ended questions

in OSFED, _________ meet the full criteria for any of the disorders in the feeding and eating disorders diagnostic class.

don't

in UFED, _________ meet the full criteria for any of the disorders in the feeding and eating disorders diagnostic class.

don't

what are comorbidity behaviors with eating disorders?

drug and ETOH abuse, shoplifting (Bulimia), promiscutiy, spending binges, mood disorders, personality disorders

what are the specific signs of bingeing?

eating much more food than normal, feeling that eating can't be controlled, hiding or hoarding food, making excuses for missing food, eating until the point of physical discomfort or pain

swelling

edema

what are some treatments of diabulimia?

education

=_____________ are huge for diagnoses because it could hint, they are not eating

electrolytes

indicator if there is kidney disease of indicator of dehydration

elevated BUN

what are the psychiatric things that happen in the brain?

emotion-labile, mood, personality (more OCD, BPD-like); attention

body dysmorphic disorder is _______ driven

emotionally

what are treatments goals for anorexia nervosa?

establish good and caring relationship with patient, resolve underlying psychological difficulties, restore weight, provide a balanced diet up to 3000cal/day

cause or manor of a disease or condition.

etiology

Starvation affects __________ organ system

every

factor that is environmental

extrinsic

•Out-patient; can be inpatient; the therapist observing the family behaviors and coaching the family;

family-based therapy

rumination disorder is not attributable to an associated ________________ or other medical condition (e.g. reflux).

gastrointestinal

for anorexia, the probably _________ and ________ factors including social pressure to be thin and attractive

genetic and envrionmental

•One of the reasons BED that is now diagnosable is due to being ________ and that there are episodes that range in severity

genetics

what are the specific signs of purging?

going to the bathroom after or during meals, damaged teeth and gums, swollen salivary glands, persistnat sores in throat and mouth, scracthy or raspy voice

About _______of anorexia patients have comorbid anxiety disorders, including obsessive-compulsive disorder and social phobia.

half

Nearly ________ of bulimia patients have a comorbid mood disorder.

half

in binge eating disorder, a sense of ________ of control over eating during the episodes (e.g. a feeling that one cannot ________ eating or ________ what or how much one is eating).

lack; stop; control

low levels of White blood cells which will disrupt the immune function

leucopenia

decrease WBC count

leukopenia

(LQTS) heart rhythm disorder that causes a chaotic heartbeat; this is because of the cardiomyopathy

long QT syndrome

what are the 6 indicators of a poor outcome?

long initial illness, severe weight loss, older age at onset, bingeing and purging, personality difficulties, unable to maintain relationships

Go to slide 6 in additional eating disorder

look at stats of AFRID

what are the physical findings for bulimia nervosa?

loss of dental enamel, russel's sign, subconjunctival hemorrhages, cardiac arrhythmias, chipmunk cheeks, mallory weiss tears,

oIf mom does not eat, then there will be a low birth weight oMake sure she is eating

low birth weight

_________________ , tend to be perfectionists with obsessive compulsive traits.

low self-esteem

body dysmorphic disorder affects _______ more than _______

males; females

Treatment of bulimia includes both _______ and _________treatments

medical and psychological

what do health professionals do when investigating if one has BN?

medical history, physical exam, dental exam, mental health assessment, x-ray, lab tests (electrolytes, CBC, protein content,)

last case scenario unless they have chemical imbalance; SSRI- regulate the brain chemicals, good adaptor for minimizes the triggers (anxiety, guilt, depression); MAOI- inhibit chemical messages or neurotransmitter

medications involving BN

in rumination disorder if symptoms occur in the context of another _________ disorder (e.g. intellectual disability), they are sufficiently severe to warrant additional clinical attention.

mental

with pica, if the eating behaviour occurs in the context of another __________ disorder (e.g. intellectual disability, autism spectrum disorder) or ____________ condition (e.g. pregnancy), it is sufficiently severe to warrant additional clinical attention.

mental; medical

abnormally low body temperature; less fat on body it is more difficult to regulate temperature

mild hypothermia

breakdown of the valves

mitral valve prolapse

__________ disorders are more common in the binge/purge subtype than in the restrictive subtype.

mood

In AFRID, they restrict the food because they think they ________

must

Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal. There is awareness of recall of the eating. The night eating is not better explained by external influences such as changes in the individual's sleep/wake cycle or by local social norms. The night eating causes significant distress and/or impairment in functioning. The disordered pattern of eating is not better explained by binge-eating disorder and or another mental disorder, including substance use, and is not attributable to another medical disorder or to an effect of medication.

night eating syndrome

oUsed other inappropriate compensatory behaviors such as: fasting or excessive exercise but not self-induced vomiting, misuse of laxatives, diuretics, or enemas.

non-purging BN

what are the anorexia nervosa physical exam findings?

normal response to starvation, amenorrhea, osteoporosis, lanugo hair, refeeding syndrome, stress facture, bradycardia, hypotension

With osteoporosis you do ______ gain back with what you lose

not

rumination disorder does ________ occur exclusively during the course of anorexia nervosa, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder.

not

the binge eating is _______ associated with the recurrent use of inappropriate _______________ behavior as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.

not; compensatory

what are the treatments for BN?

nutritional counseling, cognitive behavior therapy, interpersonal therapy, self-help, medication

what are the complications of AN?

oCardiovascular oRenal oGastrointestinal oNeurological oEndocrine, metabolic, and reproductive (EMR) oIntegumentary, skeletal, and hemotologic

what is the Eating disorders inventory?

oDrive for thinness oBody dissatisfaction oMaturity fears (new) oBulimia oLack of interoceptive awareness oIneffectiveness (new) oPerfectionism (relates to anorexia) oInterpersonal distrust (new)

what are the causes of bulimia nervosa?

oInherited genes oFamily attitudes oPeer pressure oPoor self-esteem issues oEmotional or mood swings

what are the 4 categories of binge-eating disorder?

oMild: 1-3 binge eating episodes per week. oModerate: 4-7 binge eating episodes per week. oSevere: 8-13 binge eating episodes per week. oExtreme: 14 or more binge eating episodes per week.

at this point your body is shutting down

shock due to congestive heart failure

OSFED has the purpose of hope to diagnose eating disorders _________

sooner

what are the severity catergories for BN?

oMild: An average of 1-3 episodes of inappropriate compensatory behaviours per week. oModerate: An average of 4-7 episodes of inappropriate compensatory behaviours per week. oSevere: An average of 8-13 episodes of inappropriate compensatory behaviours per week. oExtreme: An average of 14 or more episodes of inappropriate compensatory behaviours per week.

according to the DSM-V what are the severity levels?

oMild: BMI more than 17 oModerate: BMI 16- 16.99 oSevere: BMI 15-15.99 oExtreme: BMI less than 15

what are the things they look for in AFRID?

oSignificant weight loss (or failure to achieve expected weight gain or faltering growth in children). oSignificant nutritional deficiency. oDependence on enteral feeding or oral nutritional supplements. oMarked interference with psychosocial functioning

what is anorexia nervosa characterized by?

oVoluntary restriction of food ingestion oDistorted body image oFear of gaining weight

when they have nothing to do when their kids leave and they start to be perfectionism

older age at onset

If there is a genetic link, they could be just waiting for the gene to be turned _______

on

in binge-eating disorder, the binge eating occurs, on average, at least _________ a week for _______ months.

once; 3

•history of the sport, environment of the team, what has been there before, what is the root of the problem

organic problems

a change in blood pressure from sitting or laying to standing position quickly;

orthostatic hypotension

oCognitive behavior or interpersonal psychotherapies oFamily therapy is more effective than individual psychotherapy in adolescents •Can be good for the people with anorexia

outpatient treatment

The consumption of an unusually large amount of food in a defined period. The person doesn't realize they've lost control of how much they eat.

overeating episode

what are the problems with self-reporting?

people tend to lie

subjective bulimic episodes refers to eating a small or moderate amount of food that the individual __________ at being large

perceives

What is the perception of how you see your body

perceptual conception

what are the three components to body image?

perceptual, subjective, behavioral

oWill disrupt normal Venus flow so they swelled up ankles and arms

peripheral edema

weakness or numbness or pain because of nerve damage in the hands and feet; the body is starting to eat itself so the damage to the nerves occurs;

peripheral neuropathy

in bulimia nervosa the compensatory behaviors are more _______ in nature

physical

what do you look for when examining for anorexia?

physical exam, lab tests, psychological evaluation, x-rays, electrocardiograms, bone density testing

Persistent eating of nonnutritive, nonfood substances over the period of at least 1 month; The eating of nonnutritive, nonfood substances the inappropriate to the developmental level of the individual.

pica

what eating disorder is the only Feeding and Eating Disorder which can be diagnosed simultaneously with another eating disorder.

pica

what are the complications for BN?

presistant acid reflux, erosion of dentin and enamel on teeth, hoarse voice, cardiac arrhythmia,

________ is where we can get from the B complex

protein

if you have brittle hair or nail that means what are they restriciting?

protein

•Insulin omission can be classified as a _______ behavior

purge

recurrent purging behavior to influence weight or shape (e.g. self-induced vomiting; misuse of laxatives, diuretics, or other medications) in the absence of binge eating.

purging disorder

oCan include or regularly engage in self-induced vomiting, misuse of laxatives, diuretics, or enemas.

purgining BN

involves metabolic abnormality when a malnourished person beings feeding after a period of starvation or limited intake

refeeding syndrome

•consistent data

reliability

kidney stones

renal calculi

oDuring the last three months, the individual has not engaged in recurrent episodes of binge eating or purging behaviour (i.e. self-induced vomiting, or the misuse of laxatives, diuretics, or enemas). This subtype describes presentations in which weight loss is accomplished primarily through dieting, fasting and/or excessive exercise.

restricting type of anorexia nervosa

Insulin omission increases risks for _________ (eye issues), ___________ , and diabetic ketoacidosis.

retinopathy, neuropathy

Repeated regurgitation of food over the period of at least one month. Regurgitated food may be re-chewed, re-swallowed, or spit out.

rumination disorder

Bulimia is a _________ disease because It cannot be detected easily.

secretive

In AFRID, you want to figure out what are the _________ issues that are being so restrictive or avoidance

sensory

If someone has been restrictive or fasting a therapuetic diet can be a _______ to the system

shock

what are the ways to help diagnose binge eating disorder?

three or more of the following: oEating much more rapidly than normal. oEating until feeling uncomfortably full. oEating large amounts of food when not feeling physically hungry. oEating alone because of feeling embarrassed by how much one is eating. oFeeling disgusted with oneself, depressed, or very guilty afterwards

defiencicy of platelets

thrombocyopenia

abnormally low levels of platelets

thrombocytopenia

in the bulimic cycle, there is usually a _________, very vulnerable to highs and low

trigger

high levels of waste products in the blood; indicator of kidney function;

uremia

how many times has this survey been use, does it produce a good statistical numbers when it is used

validity

thickening of the heart muscle

ventricualr enlargement

the treatments for rumination disorder are ________ specific

very

during the interviews, what are some questions towards areas of concern?

weight-control behaviors, restricted eating or diets, compensatory behaviors, motivation to lose weight

life-threatening illness caused by a thymine (B-1) deficiency; affects the central and peripheral nervous system;

wernicke's encephalothy

are replase common in BN?

yes

can anorexia and bulimia both have compensatory behavior?

yes

do anorexic have cardiac issues?

yes

does lanugo hair shed when you gain back the weight?

yes

is bulimia nervosa emotionally driven?

yes

is night eating syndrome just an OSFED eating disorder?

yes

is the prognosis better for BN than AN

yes

when is inpatient treatment is required?

•If weight <75% of normal •If chances of death due to complications •If risk of suicide •If outpatient treatment fails

what are specific questionnaires for assessing eating disorders in athletes?

•Exercise Dependence Questionnaire (EDQ) •Exercise Orientation Questionnaire (EOQ) •Exercise Dependence Scale (EDS) •Exercise Addiction Inventory (EAI) (a good one) •Are they addicted by do they have to keep moving •Athletic Milieu Direct Questionnaire (AMDQ) •Eating Habits in Sport Questionnaire •Eating Attitudes Test (EAT-40)

what are some treatments for rumination disorders?

•Focus on breathing exercises and then a habit reversal (takes time because you are breaking bad habits) •Slow down and chew their food

when trying to diagnose Pica what do you look for?

•Look at clinical history •Test for anemia •Looking for toxic level in the blood (lead) •Do an x-ray or a CT scan for intestinal blockages

what are examples of compensatory behaviors?

•Misuse of laxatives, diuretics, calonics, enemas, cleanses •Compulsive exercise •Fasting or restrictive food intake

what are some of the short term consequences of diabulmia?

•Slow healing of wounds •Muscle atrophy •Ketoacidosis (body not getting what the body needs and starts burning the fat, the ketones start to build up and results in health consequences) •Organ damage •Neuropathy •Coma/ death