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8 Cards in this Set

  • Front
  • Back
Eating disorders
co morbidity
-depression/anxiety
-substance abuse
-previous sexual abuse
-personality disorder-OCD
Anorexia
Criteria
- refusal to maintain a body weight at or above a minimally normal weight
-intense fear of weight gain
-distubance in the ways one body weight is experienced or
-undue self evaluation of body weight or
- denial of the seriousness of weight
-amennorhea
Bulimia
Criteria
- recurrent episodees of binge eating
-recurrent innapropriate compensatory behavior to prevent weight gain
- both occur at least 2 x week for 3 months
-self evaluation is unduly influenced by body shape
-the disturbacne does not occur exclusivley during epsiodes of anorexia
Etiology
bilogical factors
psychological factors
environmental factors
ANorexia
clinical signs
-low weight
-amenorrhea
-yellow skin
-lanugo
-cold extremities
-edema
-muscle wekening
-constipation
-abnormal labvalues
-cardiovascular changes
-impaired renal function
-hypokalemia
-anemic pancytopenia
-decreased bone density
Bulimeia
clinical signs
-normal to slighlty low weight
-dental caries, tooth erosion
-gastric dilatio//rupture
-calluses,scars on hands-edema
-muscle weakening
-abnormal lab value
-cardiac dysfunction/failure
Assessment guidlines
Anorexis
-? requires hospitalization
- PE and bloods
-r/o other medical conditions
-comolient with therapeutic modalities
-patient family teaching
-refferal to support groups
Assessment guidlined for bulemia
- medically stable
-electolyets, glucose, tsh, cbc
-ekg
-psych eval