Eating disorders

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  1. A sibling of an anorexic has _____ times higher risk of developing the disease
    10-20 times higher risk
  2. How many Americans have some sort of eating disorder
    • 7 million women
    • 1 million men
  3. 1 in _____ women suffer from Anorexia
  4. Eating disorder is the _____ most commom chronic illness among adolescense
  5. 95% of eating disorder victims are between the age of
  6. What percentage of people from anorexia will prematuraly die
  7. What percentage of anorexic die within 10 years
  8. What percentage of anorexics will die within 20 years
  9. What percentage of anorexics fully recover
  10. What are the physical signs of anorexia
    • Amenorrhea (Lose their period)
    • Yellow dry skin (Carotenemia)
    • Hypokalemia
    • Hypoglycemia
    • Cardiac arrhythimias
    • Low BP
    • Edema
  11. What is their average calorie intake
    1000 calories a day
  12. When do anorexics start exhibiting heart failure
    35% of their normal body weight
  13. What neurotransmitters are decresed
    Serotonin and norepinepherine
  14. What neurotransmitters are increased
    • Vasopressin
    • Cortisol
  15. What are the 4 medication typically used for medical management
    • Chlorpromazine (Thorazine)
    • Amitriptyline (Elavil)
    • Imipramine (Tofranil)
    • Tranylcypromine sulfate (Parnate)
  16. What drug is effective in helping anorexics maintain healthy body weight
    Fluoxetine hydrochloride (Prozac)
  17. What percentage of anorexics recover with appropriate treatment
  18. What percentage of anorexics will imporve but remain underweight
  19. What percentage of anorexics are chronically ill
  20. What percentage of anorexics will die due to cardiac complications
  21. What is multiple impulsive bulimia nervosa often associated with
    Child abuse
  22. Patients with greater then ____ below normal weight have poor prognosis
  23. What is the diagnostic criteria for bulimia
    Binging 2x's/week for atleast 3 months
  24. What chromosomes are risk factors for bulimia
    10, 14 16
  25. What are some physical signs to Bulimia Nervosa
    • "Chipmunk cheeks" Parotid gland
    • Electroyte imbalance:Cardiac or kidney failure
    • Erythema on the soft palate
    • Esophagitis
    • GI ulcers
    • Callused knuckle
  26. What are the 4 medication used in the medical managment of Bulimia
    • Fluoxetine (Proxac)
    • Amitriptyline (elavil)
    • Tranylcypromine sulfate (Parnate)
    • SSRI
  27. What percentage of bulimics overcome the disorder after therapy
    50-60% in 15-20 weeks
  28. What percentage of bulimics go on to become chronic
  29. What percentage of bulimics recover and relapse
  30. Lingual erosion appear after
    3 years
  31. What are some head and neck oral manifestations of bulimics
    • Enlarged parotid gland
    • Perimylolysis (lingual or occlusal erosion)
    • Increased caries
    • Xerostomia
  32. What is the ph of the stomach
    1.5 to 3.5
  33. What should you do to neutralize the acid in the mouth after vomiting
    1 teaspoon of sodium bicarbonate/ 8 oz of water
  34. Brain chemistry in anorexics has shown evidence of a disturbance in the
    serotonergic function
Card Set
Eating disorders
Eating disorders
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