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