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Copyright © 2002 by W. B. Saunders Company. All rights reserved. Chapter 17 Eating Disorders Menu F

Chapter 17 Eating Disorders

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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. - PowerPoint PPT Presentation

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Page 1: Chapter 17 Eating Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Chapter 17

Eating Disorders

Chapter 17

Eating Disorders

Menu F

Page 2: Chapter 17 Eating Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Phenomena: Anorexia NervosaPhenomena: 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

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

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Page 3: Chapter 17 Eating Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Low weight Amenorrhea Yellow skin Lanugo Cold extremities Peripheral edema Muscle weakness Constipation Low T3, T4 Hypotension, bradycardia, hypokalemia Decreased bone density

Low weight Amenorrhea Yellow skin Lanugo Cold extremities Peripheral edema Muscle weakness Constipation Low T3, T4 Hypotension, bradycardia, hypokalemia Decreased bone density

Clinical Presentation: Anorexia NervosaClinical Presentation: Anorexia Nervosa

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Page 4: Chapter 17 Eating Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Binge eating

Self-induced vomiting (or laxative or diuretic use)

Depression

Interpersonal relations problems

Self concept problems

Impulsive

Increased anxiety, compulsivity

Chemical dependency common

Binge eating

Self-induced vomiting (or laxative or diuretic use)

Depression

Interpersonal relations problems

Self concept problems

Impulsive

Increased anxiety, compulsivity

Chemical dependency common

Phenomena: Bulimia NervosaPhenomena: Bulimia Nervosa

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Page 5: Chapter 17 Eating Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

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

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

Clinical Presentation: Bulimia NervosaClinical Presentation: Bulimia Nervosa

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Page 6: Chapter 17 Eating Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

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

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

Admission Criteria: Eating DisorderAdmission Criteria: Eating Disorder

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