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Y1 GASTROENTEROLOGY > Psychiatric Disease > Flashcards

Flashcards in Psychiatric Disease Deck (14)
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1
Q

Define anorexia nervosa

A

Abnormal fear of becoming fat, leading to excessive dieting

2
Q

Which 4 factors are required to diagnose anorexia nervosa?

A

Significant WEIGHT LOSS/failure to grow in children
SELF-INDUCED weight loss
Overvalued idea that OBESITY REPRESENTS FAILURE
Widespread ENDOCRINE ABNORMALITIES

3
Q

BMI of less than 17.5 is the standard for diagnosis of anorexia nervosa. True/False?

A

True

4
Q

What is Russell’s sign?

A

Calluses formed on fingers as a result of an individual trying to induce vomiting on themselves

5
Q

What is the core psychopathology behind anorexia nervosa?

A

That obesity represents failure + slimness represents control and success

6
Q

Restrictive type of anorexia nervosa shows no evidence of binge-eating or purging. True/False?

A

True

7
Q

How is bulimia nervosa different to anorexia nervosa?

A

Involves periods of binge-eating that the individual cannot control, where excessive calories are consumed

8
Q

List some depressive symptoms of anorexia + bulimia nervosa

A

Low mood
Social withdrawal
Insomnia
Pessimism

9
Q

Men suffer from anorexia nervosa more than women. True/False?

A

False

10x lower risk in men

10
Q

What is the essential treatment for anorexia nervosa? Why is it difficult?

A

Weight gain

Can be difficult if patient doesn’t feel they need to, or to dissuade them from their method of control of their life

11
Q

List indications for when a patient with anorexia/bulimia may need to be admitted into hospital

A

Suicidal
Chronic state (> 5 years)
Comorbidities
Extreme social isolation

12
Q

What is meant by somatization?

A

Underlying psychological disturbance produces physical symptoms that cannot be attributed to an organic cause

13
Q

What is meant by factitious disorders?

A

Intentional faking/stimulation of an illness for no obvious external gain (other than attention/satisfaction of seeing people puzzled)

14
Q

What is meant by malingering?

A

Deliberate stimulation of illness for physical gain, e.g. money, benefits, avoidance of prosecution