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what syndrome is cahracterized by a refusal of the individual to maintain body weight over the minimal normal weight for age and height
what syndrome is an aversion to eating and results in life threatening weight loss
anorexia involves self imposed _____ that results from an obsessive desire to be ____ and a marked fear of ____ ____
- gaining weight
t/f with anorexia nervosa the persons perception of body image is disturbed
what are the two types of anorexia nervosa?
- restricting type
what type of person is an anorexic? 3
high achiever, socially isolated, depressed
the signs and symptoms of anorexia nervosa are severe weight loss with _____, preoccupation with ____, hyperactivity and excessive _____, abuse of ____, _____ and ____. Has ____ and _____ skin, _____ fingernails with ____ on the arms and face
- diuretics, laxatives and enemas
- dry and flaky
what are the vital signs like for a person with anorexia nervosa?
- low pulse rate, hypotension, decreased respiratory rate and low body temperature
t/f anorexia nervosa can cause amenorrhea
what are the three oral complications of anorexia nervosa?
what is a psychiatric compulsive disorder marked by recurrent episodes of uncontrollable binge eating?
what are the two types of bulima nervosa?
what is caracteristic of the purging type of bulima nervosa?
self induced vomiting after eating or the use of laxatives or diuretics
what does a nonpurging bulimic use or control weight gain?
- vigorous exercise
what are the individuals that are concered with body weight and shape called?
is a bulimic aware of their abnormality?
how is an episode of binge eating characterized?
- eating within a 2 hour period more than most people would eat in two hours
- the lack of control of what or how much one eats
t/f a bulimic alternates during normal eating and fasting
in contrast to the thin anorectic person how does a bulimic appear?
normal body weight or slightly overweight
what kinds of foods are consumed during a binge?
- cariogenic items, high in calories
- sweet taste
- texture allows for rapid eating
- favorite foods
is drug or alcohol abuse by the pt or family common for bulimia nervosa?
yes yes it sure is
when is amenorrhea a ccomplication for a bulimic?
when there is a history of anorexia nervosa
what does the treatment of bulimia nervosa focus on?
modifying dysfunctional beliefs about body shape and weight
what has ben demonstrated as effective in reducing binge eating and purging?
what is considered the treatment of choice for bulimia nervosa?
cognitive behavioral therapy
after vomiting acid is retained where? and what does this provide?
- tongue papillae
- longer contact with palatal surfaces of maxillary teeth
what may be ther erliest evidence of bulima?
parimylolysis on smooth palatal surcaces of teeth
how do the restorations appear for a bulimic
raised because of erosion of the enamel around the margins
what promotes caries in bulimia nervosa
- pH changes in saliva
- large quantities of cariogenic foods
for bulimia nervosa the saliva decreases in ____and _____
what limits the buffereing and lubricating properties of saliva
how might there be trauma to the oral cavity from bulimia nervosa?
- soft palate-fingers, comb, pencils, toothbrush to induce vomiting
- pharyngeal-large food bolus that is swallowed or regurgitated
what gland is effected by bulimia
how long does the parotid gland stay enlarged for after a binge
2 to 6 days
how can you instructed the bulimic pt to prevent perimylolysis and dental caries?
- reduce cariogenic foods
- imporve personal oral care
what should you tell a bulimic pt about brushing?
do not brush after vomiting, demineralization of the tooth surface by the acid from the stomach starts immediately on contact and brushing may abrade the demineralized areas
how can a bulimic help with remineralization?
- alkaline rinse (Sodium bicarbonate or magnesium hydroxide solution)
- .05% neutral sodium fluoride rinse