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Chapter 17 Eating Disorders. F. Menu. Phenomena: Anorexia Nervosa. Terrified of weight gain Preoccupied with food Sees self as fat Peculiar handling of food Rigorous exercise regimen Uses vomiting, laxatives, diuretics Judges self-worth by weight. B. F. Menu.

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Chapter 17Eating Disorders

F

Menu


Phenomena anorexia nervosa
Phenomena: Anorexia Nervosa

  • Terrified of weight gain

  • Preoccupied with food

  • Sees self as fat

  • Peculiar handling of food

  • Rigorous exercise regimen

  • Uses vomiting, laxatives, diuretics

  • Judges self-worth by weight

B

F

Menu


Clinical presentation anorexia nervosa
Clinical Presentation: Anorexia Nervosa

  • Low weight

  • Amenorrhea

  • Yellow skin

  • Lanugo

  • Cold extremities

  • Peripheral edema

  • Muscle weakness

  • Constipation

  • Low T3, T4

  • Hypotension, bradycardia, hypokalemia

  • Decreased bone density

B

F

Menu


Phenomena bulimia nervosa
Phenomena: Bulimia Nervosa

  • Binge eating

  • Self-induced vomiting (or laxative or diuretic use)

  • Depression

  • Interpersonal relations problems

  • Self concept problems

  • Impulsive

  • Increased anxiety, compulsivity

  • Chemical dependency common

B

F

Menu


Clinical presentation bulimia nervosa
Clinical Presentation: Bulimia Nervosa

  • Normal to slightly low weight

  • Dental caries, erosion

  • Parotid swelling

  • Gastric dilation, rupture

  • Calluses, scars on hand

  • Peripheral edema

  • Muscle weakness

  • Abnormal K, Na values

  • EKG changes, cardiomyopathy

B

F

Menu


Admission criteria eating disorder
Admission Criteria: Eating Disorder

  • Weight loss over 30% over 6 months

  • T below 36 °C or 96.8 °F

  • Inability to gain weight as outpatient

  • P less than 40 BPM

  • Systolic BP less than 70 mm Hg

  • Hypokalemia (under 3 mEq/L)

  • Arrhythmias

  • Suicidal or self-mutilating

  • Severe depression/psychosis

  • Family crisis

  • Failure to comply with treatment

B

Menu


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