NR-606 Diagnosis & Management in Psychiatric-Mental Health II Practicum
Week 6: NR606 / NR 606
Question:
What is anorexia nervosa?
Answer:
Eating disorder with restrictive eating patterns and low body weight.
Question:
What percentage of the population does anorexia nervosa affect?
Answer:
- to 2%, including 0.3% of adolescents.
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Question:
What are the diagnostic criteria for anorexia nervosa?
Answer:
Low body weight, fear of weight gain, disturbance in body weight perception.
Question:
What are the severity levels of anorexia nervosa based on BMI?
Answer:
Mild (≤17 kg/m2), Moderate (16-16.99 kg/m2), Severe (15-15.99 kg/m2), Extreme (<15 kg/m2).
Question:
What are the medical complications of anorexia nervosa?
Answer:
Impact on major organ systems, risk of death due to starvation and suicide.
Question:
What cardiovascular changes can occur in anorexia nervosa?
Answer:
Decreased cardiac mass, reduced cardiac chamber volume, mitral valve prolapse, myocardial fibrosis. 2 / 4
Question:
When do pericardial effusions generally occur in anorexia nervosa?
Answer:
With weight restoration.
Question:
What are the functional changes associated with anorexia?
Answer:
Bradycardia, hypotension, decreased diastolic ventricular function, diminished heart rate variability, QT interval prolongation.
Question:
How does anorexia impact the gynecologic and reproductive system?
Answer:
Secondary amenorrhea, decreased libido, increased incidence of pregnancy complications.
Question:
What endocrine complications can occur with anorexia?
Answer:
Hypothalamic-pituitary abnormalities, severe bone loss.
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Question:
What gastrointestinal issues can arise from anorexia?
Answer:
Gastroparesis, diarrhea or constipation, elevated liver function tests, superior mesenteric artery syndrome, acute pancreatitis, gastroesophageal reflux disease, dysphagia.
Question:
What renal and electrolyte imbalances can occur with anorexia?
Answer:
Decreased glomerular filtration rates, difficulty creating concentrated urine, diuresis, hyponatremia, dehydration.
Question:
What pulmonary complications can arise from anorexia?
Answer:
Weakness and wasting of respiratory muscles, dyspnea, reduced aerobic capacity, decreased pulmonary capacity, aspiration pneumonia.
Question:
What hematologic changes are common in anorexia?
Answer:
Cytopenia, bone marrow changes, petechiae, purpura.
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