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an eating or feeding disturbance that is not due to a food shortage or
cultural practice and is associated with one or more of the following:
significant weight loss significant nutritional deficiency dependence on
enteral feeding or oral nutritional supplements
impaired psychosocial functioning behavior interferes with her
psychosocial functioning and is not better explained by cultural practice,
lack of available food, or anorexia nervosa.
does not occur exclusively during the course of anorexia nervosa or
bulimia nervosa, and is not attributable to a concurrent medical condition
or mental disorder.
,_________ is characterized by recurrent episodes of eating UNUSUALLY LARGE amounts
of food PAIRED WITH A LACK OF FEELING IN CONTROL of eating behaviors.
To compensate for overeating, individuals with bulimia nervosa engage in behaviors
to prevent weight gain, including self-induced vomiting, excessive use of laxatives or
diuretics, excessive exercise, fasting, or a combination of these behaviors.
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Bulimia Nervosa
Name some medical complications of bulimia nervosa.
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,Dental
· Enamel erosion
· Hot/cold sensitivity
· Discoloration
· Dental caries
· Gum disease
·
Endocrine
· Menstrual irregularities
· Osteopenia and osteoporosis
· Diabetes
Gastrointestinal
· Parotid and submandibular (salivary) gland hypertrophy, with puffy or
swollen cheeks
· Laryngopharyngeal reflux
· Loss of gag reflex
· Esophageal dysmotility
· Abdominal pain and bloating
· Mallory-Weiss syndrome (esophageal tears)
· Esophageal rupture (Boerhaave syndrome)
· Gastroesophageal reflux disease (GERD)
· Barrett's esophagus
· Gastric dilation
· Diarrhea and malabsorption
· Steatorrhea
· Protein-losing gastroenteropathy
· Hypokalemic ileus
· Colonic dysmotility
· Constipation
· Irritable bowel syndrome
· Melanosis coli
· Cathartic colon
· Rectal prolapse
· Pancreatitis
Renal & Electrolytes
· Dehydration
· Hypokalemia
· Hypochloremia
· Hyponatremia
· Metabolic alkalosis
, · Hypomagnesemia
· Hypophosphatemia
What is the first-line treatment for ADHD?
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A stimulant medication.
A non-stimulant is used if a stimulant is contraindicated or if a stimulant is
not effective.
However remember that treatment of ADHD is multi-modal, often requiring
medical, educational, behavioral, and psychological intervention.
What are some treatment goals in anorexia nervosa?
Overall, during treatment for anorexia, what is the MAIN GOAL?
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restoration of sufficient nutrition
return to a healthy weight
REDUCTION OF EXCESSIVE EXERCISE
elimination of binge-purge and binge-eating behaviors.
WEIGHT GAIN!
__________ is characterized by severe behaviors that violate societal norms or the rights
of others and may involve aggression towards others, animals, theft, and/or the
destruction of property.
Behaviors associated with Conduct disorder may present as early as pre-school,