Lectures

Eating disorders

Dr. Safeyya Adeeb Alchalabi

Eating disorders

Anorexia nervosa

Anorexia nervosa

Anorexia nervosa

Anorexia nervosa

Diagnostic criteria
N.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 models

Biological

Differential diagnosis

physical consequences

Dental caries.



physical consequences

Cardiac complications

Amenorrhoea

Osteopenia

Physical signs

Assessment

Assessment

Physical examination

Blood tests

Blood tests

management
General principles
Most patients will be treated as outpatients.

management

management

Risks of re-feeding

Prognosis

Bulimia nervosa

Bulimia nervosa

Epidemiology

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 diagnosis
Upper 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

Treatment


Prognosis

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