1. Chapter 17 Eating Disorders
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2. 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
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3. 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
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4. 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
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5. 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
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6. 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
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