Eating disorders
ا.د.الهام الجماسEating disorders
Anorexia nervosaAnorexia nervosa
Anorexia nervosaAnorexia nervosa
Diagnostic criteriaN.B. In atypical cases one or more of these key features may be absent, or all are present but to a lesser degree.
Aetiology
Psychodynamic modelsBiological
Differential diagnosisphysical consequences
Dental caries.physical consequences
Cardiac complications
Amenorrhoea
OsteopeniaPhysical signs
AssessmentAssessment
Physical examinationBlood tests
Blood testsmanagement
General principlesMost patients will be treated as outpatients.
management
managementRisks of re-feeding
PrognosisBulimia nervosa
Bulimia nervosaEpidemiology
Aetiology
Similar to anorexia nervosa, also evidence for associated personal/family history of obesity, family history of affective disorder and/or substance misuse. Possible dysregulation of eating, related to serotonergic mechanisms (?supersensitivity of 5HT2C secondary to decrease“5HT).Diagnostic criteria
N.B. In atypical cases, one or more of these features may be absent.Physical signs
Differential diagnosisUpper GI disorders (with associated vomiting) Brain tumours Personality disorder Depressive disorder OCD Drug-related increased appetite Other causes of recurrent overeating (e.g. menstrual-related syndromes, Kleine-Levin syndrome.
Comorbidity
TreatmentPrognosis
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