What type of eating disorder is characterized by the aversion to eating resulting in less than minimal body weight? The aversion to eating may be lifethreatening?
anorexia nervosa
Which type of eating disorder involves self-imposed starvation that results from an obsessive desire to be thin and a marked fear of gaining weight? Perceptual disturbances relative to body image are present?
anorexia nervosa
true or false. There is an increased incidence of major depression or a family history of major depressino or bipolar disorder in anorectic individuals
true
true or false. frequently the person with anorexia nervosa is a high achiever and highly motivated scholastically, but may be socially isolated and withdrawn.
true
What are the 2 types of eating anorexia nervosa?
restricting type: doesn't binge or purge
binge-eating/purging type: (bulimarexia) regularaly engates in binge eating or purging behavior
List 6 signs and symptoms of anorexia nervosa.
emaciation
preoccupation with foods
hyperactivity
excessive exercising
abuse: in throat from purging
sking, nails: thin frail
List 4 medical complications with anorexia nervosa.
metabolic changes: GI, cardiovascular, hematologic, and renal disorders
amenorrhea
What are 3 oral implications of anorexia nervosa?
xerostomia
caries
perimylosis: noted of bulimia
What are 4 appointment interventions for the anorexia nervosa pt?
non-threatening demeanor
assess nutritional status: dietary assessment
vital signs: record
introduce a preventive program
Which type of eating disorder is a psychiatric compulsive disorder marked by recurrent episodes of uncontrollable binge eating?
bulimia nervosa
What are the 2 types of bulimia nervosa?
purging type: regularly engages in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
nonpurging type: uses inappropriate compensatory behaviors such as fasting or excessive exercise, but does not engage in self-induced vomiting etc
true or false. The individual with bulimia nervosa tends to be socially extroverted and more outgoing in contrast to the person with anorexia. the pt is well aware that the eating habits are abnormal
true
What are 4 signs and symptoms of bulimia nervosa?
Alternate normal eating and fasting
they have normal body weight or slightly overweight
food consumed during a binge: include cariogenic items with a high caloric content, a sweet taste, and texture that allows rapid eating
family history: of drug and/or alcohol abuse is not uncommon
What are 6 medical implications with the pt with bulimia nervosa?
dehydration
electrolyte imbalance
protein malnutrition
cardiac arrhythmia
abuse: of self meds, laxatives and diuretics which contribute to GI disturbances
amenorrhea: when they have a history of anorxia nervosa
What are 3 ways to medically treat bulimia nervosa?
cognitive behavioral therapy: tx of choice
modifying perception: tx focuses on modifying dysfunctional beliefs about body shape and weight
Antidepressants: have been effective in reducing binge eating and purging
What are 9 oral findings in the pt with bulimia nervosa?
perimylolysis: chemical erosion of tooth by acid from regurgitation of stomach contents
restorations: appear raised because of erosion of enamel around margins
caries: demineralization results from pH change in saliva
saliva: decrease in quantity and quality
xerostomia: body fluids lost from vomiting and diuretics; also a side effect of antidepressant meds
