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Binge Eating Disorder


In this large quantity of food is taken, each time the food in take with no compensatory mechanisms.
Common Characteristics of Anorexia Nervosa and Bulimia Nervosa
 
Treatment of choice – Behavior Therapy
Drug of Choice-SSRI
 
 
 
Anorexia Nervosa
 
Bulimia Nervosa
 
Clinical Characteristics    
Onset Mid-adolescence Late adolescence/early adulthood
Female: male 10:1 10:1
Prevalence in women 0.5% 1-3%
Weight Markedly decreased Usually normally
Menstruation Absent Usually normal
Binge eating 25-50% Required for diagnosis’
Mortality -5% per decade Low

Physical And Laboratory Findings
Skin/extremities
 
 
 
 
Cardiovascular
 
 
 
Hematopoietic
 
Fluid/Electrolyte
 
Endocrine
 
 
 
 
 
Lanugo
Acrocyanosis
Edema
Bradycardia
Hypotension
Salivary gland enlargement                                            
Slow gastric emptying Dental erosion
Constipation
Elevated liver enzymes
Normochromic, normocyctic anemia
Leukopenia
Increased BUN, creatine                                             Hypokalemia

Hypoglycemia
Low estrogen or testosterone
Low LH and FSH
Low - normals, Normal TSH
Inreased cortisol,
Bone Osteopenia
Salivary gland enlargement








Hyponatremia                   Hypochloremia, Alkalosis




 




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