Bulimia Nervosa Symptoms & Signs
• Bulimia Nervosa • Apr 04 06

Symptoms & Signs
The essential feature of bulimia nervosa is the episodic, uncontrolled gorging of large quantities of food in short periods of time. Patients are aware of their disordered eating…


 

Bulimia Nervosa
• Bulimia Nervosa • Apr 04 06

Bulimia Nervosa Introduction
Bulimia nervosa is the episodic, uncontrolled binge eating of large quantities of food over a short period of time. It was originally described in the late 1950s as a pattern of…


 

Anorexia Nervosa Treatment
• Anorexia Nevrosa • Apr 04 06

Treatment
Treatment approach to anorexia nervosa is summarized in

Table 26-2.

The initial goal of treatment is to counteract the effects of starvation by promoting weight gain and…


 

Anorexia Nervosa Epidemiology
• Anorexia Nevrosa • Apr 04 06

Epidemiology
The prevalence of anorexia nervosa among women in the United States and western Europe is between 0.7% and 2.1% of the population. Males constitute 10-15% of patients with anorexia nervosa.


 

Anorexia Nervosa Illustrative Case
• Anorexia Nevrosa • Apr 04 06

Illustrative Case
A 17-year-old high school senior began dieting to improve her appearance. Although her family initially encouraged her, the parents became alarmed as her weight dropped precipitously and she became cachectic.…


 

Anorexia Nervosa Differential Diagnosis
• Anorexia Nevrosa • Apr 04 06

Differential Diagnosis
Anorexia nervosa must be distinguished from weight loss caused by medical illnesses such as ne-oplasms, tuberculosis, hypothalamic disease, and primary endocrinopathies (anterior pituitary insufficiency, Addison’s disease, hyperthyroidism, and diabetes mellitus).…


 

Anorexia Nervosa Prognosis
• Anorexia Nevrosa • Apr 04 06

Prognosis
There is marked variability in the prognosis for patients with anorexia nervosa. About 40% are completely recovered at follow-up and 30% are improved, but 20% remain unimproved or severely impaired. The mortality…


 

Anorexia Nervosa Natural History
• Anorexia Nevrosa • Apr 04 06

Natural History
The onset of anorexia nervosa often follows new life situations in which the patient feels inadequate or unable to cope. Such changes may be biological, such as the onset of…


 

Anorexia Nervosa Medical Complications
• Anorexia Nevrosa • Apr 04 06

Medical Complications
A weight loss of at least 15% of the baseline or ideal body weight is necessary to establish the diagnosis of anorexia nervosa. In addition to weight loss, a number…


 

Anorexia Nervosa Introduction
• Anorexia Nevrosa • Apr 04 06

Introduction
Anorexia nervosa is a complex disorder manifested by physiological, behavioral, and psychological changes and characterized by morbid fear of fatness, gross distortion of body image, and unrelenting pursuit of thinness. The…


 

Anorexia Nervosa Psychiatric Comorbidity
• Anorexia Nevrosa • Apr 04 06

Psychiatric Comorbidity
Two-thirds of patients with anorexia nervosa and three-fourths of patients who meet diagnostic criteria for both anorexia nervosa and bulimia nervosa are also diagnosed with at least one mood disorder…


 

Eating Disorders
• Eating Disorders • Apr 04 06

Eating Disorders