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27 Cards in this Set
- Front
- Back
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________ has the highest mortality rate of any psychiatric disorder
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anorexia nervousa
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what is the most common dx illness in psych?
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depression
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________Occurs most often in late adolescence to young adults in high academic achievers and higher socioeconomic groups
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anorexia nervousa
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Anorexia Nervosa
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Low Body weight (15% below normal BMI or 85% of expected body weight)
Intense fear of gaining weight Body Image distortion Amenorrhea |
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Bulimia Nervosa
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Recurrent binge eating (large quantities and lacking control)
Recurrent compensatory behavior (eg., self-induced vomiting, over-exercise, enemas, laxatives) Above 2 both occur together 3 consecutive months can be purge or non-purge |
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hypokalemia with irregular menses and normal weight?
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bulimia
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low body wieght (85% of normal) and ammenorrhea
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anorexia
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Lack of sexual interest
Self image incongruent excess body hair Tx? |
person has anorexia. tx with SSRI, therapy, CBT, and hospital
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Normal sexual interest
Self image poor Tx |
bulimia
tx witih SSR, CBT, and group therapy |
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Aberrant eating patterns and weight management that do not meet criteria for anorexia or bulimia.
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eating disorder NOS
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what is the most common eating disorder?
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eating disorder NOS
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Russell’s Sign. indicitive of..
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bulimia, self induced vomit leads to scars on knuckles
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Sialadenosis. indicitive of...
Tx |
bulimia. parotid gland swelling
NSAIDS, hot compress, sour candy |
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Angular Cheiliosis, indicitive of...
tx |
bulimia. cracks and swelling of the corners of the mouth. due to vitamin def.
tx is supplements and petroleum jelly |
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Organ effects of Eating Disorders: brain
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psuedoatrophy, lower seizure threshold, cerebral hypoperfusion
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Organ effects of Eating Disorders: heart
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MVP, rhythum change, hypotension,
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Organ effects of Eating Disorders: neuroendocrine
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increased cortisol, low TSH and T3/T4, low estrogen, LH, progesterone, and FSH
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Organ effects of Eating Disorders: bone
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60% of pts with anorexia have osteoporosis.
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Organ effects of Eating Disorders: gastroparesis
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due to lack of use. like if someone recieved all of their nut through an IV line.
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when refeeding someone, what electrolyte should you monitor
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phosphate
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Refeeding Sydrome
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metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or malnourished
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what can Refeeding Sydrome lead to?
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hepatitis
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Energy intake should remain only 50-70% that of normally required for the first 3–5 days to avoid...
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refeeding syndrome
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what do amylase levels tell you?
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if the person is purging. they will be elevated.
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what is the best SSRI for eating disorders?
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fluoxetine
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binge eating
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3 of the following: rapid eating, eat till uncomfortably full, eat large amounts when not hungry, eating alone on purpose, guilt following
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the later the onset of anorexia the...
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worse the prognosis.
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