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
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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,
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In a longitudinal study, diabulimia increased mortality risk threefold.
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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"
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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
