Anorexia Nervosa: Difference between revisions

No edit summary
No edit summary
Line 21: Line 21:
<br>  
<br>  


Two sub-types of anorexia nervosa have been recognized by the ''Diagnostic and Statistical Manual of Mental Disorders''.&nbsp; These sub-types include the restricting type and the binge-eating-purging type. Restricting subtype is characterized by an individual with anorexia nervosa who has not regularly taken part in binging or purging behaviors during the current episode.&nbsp; Binging and purging behaviors include the use of laxatives, diuretics, enemas, and self-induced vomiting to restrict weight gain.&nbsp; Binge-eating-purging subtype is characterized by an indivudal who has regularly taken part in binge-eating or purging behaviors in the current episode of anorexia nervosa.&nbsp; <ref name="Franco" />
Two sub-types of anorexia nervosa have been recognized by the ''Diagnostic and Statistical Manual of Mental Disorders''.&nbsp; These sub-types include the restricting type and the binge-eating-purging type. Restricting subtype is characterized by an individual with anorexia nervosa who has not regularly taken part in binging or purging behaviors during the current episode.&nbsp; Binging and purging behaviors include the use of laxatives, diuretics, enemas, and self-induced vomiting to restrict weight gain.&nbsp; Binge-eating-purging subtype is characterized by an indivudal who has regularly taken part in binge-eating or purging behaviors in the current episode of anorexia nervosa.&nbsp; <ref name="Franco" /><ref name="Mitchell" />  


<br>  
<br>  

Revision as of 21:40, 4 March 2010

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

BU Logo Red High.jpg

Definition/Description[edit | edit source]

Anorexia nervosa is an eating disorder in which the individual exhibits severe weight loss without any indication of underlying systemic causes. Individuals with anorexia nervosa have a distorted view of their own body image and an extreme fear of gaining weight. [1][2][3][4][5]  Anorexia nervosa is diagnosed according to the DSM IV criteria listed below. 


DSM IV-TR Diagnostic Criteria of Anorexia Nervosa

  1. "Refusal to maintainbody weight at or above a minimally normal weight for age and height: Weight loss leading to maintenance of body weight <85% of that expected or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected." [4]
  2. "Intense fear of gaining weight or becoming fat, even though under weight."[4]
  3. "Disturbance in the weay one's body weight or shape are experienced, undue influence of body weight or shape on self evaluation,or denial of the seriousness of the current low body weight."[4]
  4. "Amenorrhea (at least three consecutive cycles) in postmenarchial girls and women.  Amenorrhea is defined as periods occuring only following hormone (e.g., estrogen) administration."[4]


Two sub-types of anorexia nervosa have been recognized by the Diagnostic and Statistical Manual of Mental Disorders.  These sub-types include the restricting type and the binge-eating-purging type. Restricting subtype is characterized by an individual with anorexia nervosa who has not regularly taken part in binging or purging behaviors during the current episode.  Binging and purging behaviors include the use of laxatives, diuretics, enemas, and self-induced vomiting to restrict weight gain.  Binge-eating-purging subtype is characterized by an indivudal who has regularly taken part in binge-eating or purging behaviors in the current episode of anorexia nervosa.  [4][2]



Prevalence[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Associated Co-morbidities[edit | edit source]

add text here

Medications[edit | edit source]

add text here

Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

add text here

Causes[edit | edit source]

add text here

Systemic Involvement[edit | edit source]

add text here

Medical Management (current best evidence)[edit | edit source]

add text here

Physical Therapy Management (current best evidence)[edit | edit source]

add text here

Alternative/Holistic Management (current best evidence)[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Case Reports[edit | edit source]

add links to case studies here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.

  1. Bond C, Bonci L, Granger L, et al. National Athletic Trainers' Association Position Statement: Preventing, Detecting, and Managing Disordered Eating in Athletes. Journal of Athletic Training [serial online]. January 2008;43(1):80-108. Available from: Teacher Reference Center, Ipswich, MA. Accessed February 12, 2010.
  2. 2.0 2.1 Mitchell, James E. Outpatient Treatment of Eating Disorders: A Guide for Therapists, Dietitians, and Physicians. Minneapolis, MN, USA: University of Minnesota Press. 2001. p 14-27.
  3. Mayo Clinic Staff. Anorexia Nervosa. Mayo Clinic Website. 2010. Available at: http://www.mayoclinic.com/health/anorexia/DS00606. Accessed February 20, 2010.
  4. 4.0 4.1 4.2 4.3 4.4 4.5 Franco, Kathleen N. Eating Disorders. Cleveland Clinic Center for Continuing Education Website. 2009. Available at: http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/psychiatry-psychology/eating-disorders/. Accessed February 20, 2010.
  5. Goodman, Catherine C. and Fuller, Kenda S. Pathology: Implications for the Physical Therapist. St. Louis, Missouri: Saunders Elsevier; 2009.