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Flashcards in Eating disorders Deck (13)
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1
Q

Anorexia nervosa diagnostic criteria

A
  • BMI index of 17.5 or less
  • self induced weight loss (strict dieting, vomitting, excessive exercise)
  • body image disturbance
  • fear of fatness
  • amenorrhoea
2
Q

Investigations for anorexia nervosa?

A
  • haematology
  • biochemistry
  • ECG
  • DXA
3
Q

Cardiovascular complications of anorexia?

A
  • hypotension
  • bradycardia
  • prolonged QT
  • arrhythmia
  • hypercholesterolaemia
4
Q

Metabolic complications of anorexia

A
  • hypothermia
  • dehydration
  • electrolyte disturbance (low potassium, magnesium, calcium, phosphate)
  • hypoglycaemia
  • raised LFTs
5
Q

Haematological complications of anorexia?

A
  • anaemia
  • low WBC
  • thrombocytopenia
  • iron deficiency
  • B12 and folate deficiency
6
Q

Renal complications of anorexia

A
  • nocturia
  • acute renal failure
  • chronic renal failure
  • psychogenic polydipsia
7
Q

Endocrine complications of anorexia

A
  • low oestrogen, testosterone, gonadotrophins
  • low thyroxine
  • raised cortisol
8
Q

GI complications of anorexia

A
  • swollen salivary glands
  • dental caries, erosion of enamel
  • delayed gastric emptying, bloating
  • constipation
9
Q

MSK complications of anorexia

A
  • cramp
  • tetany
  • muscle weakness
  • osteoporosis
  • fractures
10
Q

Bulimia nervosa diagnostic criteria

A
  • persistent preoccupation with eating
  • irresistible craving for food
  • binges
  • attempts to counter the effects of binges (starvation, vomiting, laxatives, drug misuse)
  • morbid dread of fatness
11
Q

Physical signs of bulimia

A
  • calluses on knuckles (Russell’s sign)
  • parotid hypertrophy
  • dental caries
12
Q

Medical complications of bulimia

A
  • Oesophageal reflux
  • Oesophageal tears/rupture
  • Hypokalaemia
  • Subconjunctival haemorrhage
  • Dehydration
  • Seizures – metabolic abnormalities
13
Q

Binge eating disorder

A
  • episodes of compulsive overeating
  • taste and quality of food important
  • NO compensatory behaviour
  • weight and shape less important to self-esteem than bulimia