Bulimia Nervosa Cheat Sheet - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

293

Pages:

2
Author:

Mariam A. A.

Bulimia Nervosa Definition A series of eating disorders marked by bingeing eating methods and then methods to avoid wright gain Epidemiology • • • • Females: 0.3% -1 % Males: 0.1% Peak age: 20 – 24-year-old Young women Aetiology • • • • Obesity in childhood Early puberty Diet Psychological and emotional issues Features/signs and symptoms • • • • • • • • • Recurrent binge eating Weight gaining avoidance methods: - Self-induced vomiting after binge eating - Laxative abuse - Transient starvation periods - Other weight loss methods Sense of self worth influenced by body image Binge eating and compulsive behaviour both occur at least once a week Tooth caries and perimyoloysis due to excess vomiting Esophagitis Dry skin and brittle nails Cardiac arrhythmias Hypotension Diagnosis • • • • • Normal or slightly elevated BMI Greater than 10th percentile for children Lab studies/urea - Low K+ - Low Na+ - Low Cl- Low Ca2+ History taking questions ECG for identifying any potential arrythmias Treatment and Management • Psychotherapy-> cognitive behavioural therapy - First line treatment • • Nutritional support/education Pharmacotherapy - Selective serotonin reuptake inhibitors. E.g., fluoxetine -> decrease binge eating cycles Complications • • Mortality increased 2-8 higher than general population Increased risk of psychological comorbidities - Depression - Anxiety - Social phobias - Attention deficit hyperactivity disorder - Alcohol and drug addiction and/or abuse

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