What skin complications are associated with eating disorders? (6)
- Thin hair
- Lanugo
- Brittle nails
- Bruising
- Yellow complexion
- Cold intolerance
Describe the DSM-5 criteria for diagnosis of anorexia nervosa
Restriction of energy intake leading to significantly low body weight
What are the manifestations of anorexia nervosa? (5)
- Bradycardia
- Hypotension
- Acrocyanosis
- Amenorrhea
- Peripheral edema
Describe the DSM-5 criteria for diagnosis of bulimia nervosa (2)
- Uncontrolled binge-eating within a 2 hour period followed by compensatory behaviors
- Presence of behaviors for at least 3 months
What are the manifestations of bulimia nervosa? (3)
- Dental carries
- Russell’s sign - callouses / scars on the knuckles
- Parotid gland enlargement - “chipmunk cheeks”
What lab abnormalities are associated with anorexia nervosa / bulimia nervosa? (4)
- Anemia
- Neutropenia
- Hypoglycemia
- Decreased electrolyte levels
Describe the DSM-5 criteria for diagnosis of binge-eating disorder (2)
- Uncontrolled binge-eating within a 2 hour period without compensatory behaviors
- Presence of behaviors for at least 3 months
What are the manifestations of binge-eating disorder? (2)
- Hypertension
- Obesity / diabetes
Describe body weight associated with anorexia nervosa (2)
- < 85% of target weight
- BMI ≤ 17.5
Describe body weight associated with bulimia nervosa
Usually normal weight
Describe body weight associated with binge-eating disorder
Usually overweight
______ can occur if nutrition is introduced too rapidly after prolonged starvation
Refeeding syndrome
What is refeeding syndrome?
Fatal shift in fluid / electrolytes causing cardiovascular decompensation
What medication is used for anorexia nervosa?
Olanzapine
What medication is used for bulimia nervosa?
Fluoxetine
What medication is used for binge-eating disorder?
Lisdexamfetamine
Describe proper weighing for patients with eating disorders
Weigh after voiding in the morning (before breakfast)
