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12 Cards in this Set
- Front
- Back
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DSM IV criteria for anorexia nervosa?
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- Refusal to maintain normal body weight (<85% of normal)
- Intense fear of gaining weight - Disturbance in way body shape/weight experienced - Amenorrhea in postmenarchal females (absence of at least 3 cycles) Restricting or Binge-eating/Purging type |
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DSM IV criteria for bulimia nervosa?
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- Binge eating and compensatory behaviors:
(self-induced vomiting misuse of laxatives,diuretics, enemas Fasting Excessive exercise) occur at least twice a week for 3 months.Recurrent. - Self eval influenced unduly by body shape/weight - Disturbance doesn't exclusively occur during episodes of anorexia nervosa |
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Etiologies of anorexia and bulimia nervosa?
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Cultural emphasis on weight
Disturbance in CNS monoamines in acute phase BN - career choices with body on display, preexistent trauma(abuse) |
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Epidemiology of anorexia and bulimia nervosa?
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AN:
1/(100-200) females Females >90% of cases Industrialized nations Bimodal peak of onset - early adolescence (12-15) early adulthood (17-21) Genetic link suggested BN: 1-3% >98% female Average age of onset 18-20 Genetic link suggested BN |
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S/S of anorexia and bulimia nervosa?
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AN:
Restricted diet(no high cal foods) Excessive exercising Increased fear of being fat Distorted body image Self-esteem overly linked to weight Food related obsessions Signs of starvation BN: Binging and purging Consumption of high cal food Dental erosions Knuckle scars Self esteem linked to body weight but not as much as AN |
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Most common compensatory mechanism in bulimia?
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Vomiting (80-90%)
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Signs of starvation associated with anorexia nervosa?
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Emaciation
Hypotension Bradycardia Skin dryness/Lanugo Sallow complexion Peripheral edema Petechiae Salivary gland hypertrophy Amenorrhea |
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Psychological testing for anorexia and bulimia nervosa?
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AN:
Eating disorders inventory Eating attitudes test BN: Eating disorders examination |
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DD of anorexia and bulimia nervosa?
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AN:
IBD Hyperthyroidism Malignancies HIV/AIDS BN: Rare neurologic dz - Kluver bucy syndrome or brain tumor Weight <85% normal, dxed as AN even with binging and purging |
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Non pharmacologic therapy for anorexia and bulimia nervosa?
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AN:
Most must be coerced Multidisciplinary approach May need in patient tx Behavior therapy BN: In patient tx rare Cognitive-behavioral therapy Interpersonal psychotherapy Group psychotherapy |
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Pharmacologic therapy for anorexia and bulimia nervosa?
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AN:
SSRIs Neuroleptics (Thorazine) Cyproheptadine (appetite booster) Lithium BN: Antidepressants (TCA,MAOIs,SSRIs,Trazodone) |
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Complications of anorexia nervosa and BN?
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Anemia
Impaired renal function(due to chronic dehydration and hypokalemia) Arrythmias/Hypotension Osteoporosis Dental decay Amenorrhea BN:above + GI bleeding, constipation, gastritis Increased seizure frequency Hypertrophy of salivary glands |
