CEDS COMPREHENSIVE QUESTIONS AND
SOLUTIONS
◉ most common causes of morbidity and mortality (BN)
Answer: electrolyte and metabolic disturbances
◉ medical complications ARFID
Answer: nutritional deficiencies and growth disturbances
◉ AAN: Complications related to
Answer: complications of starvation and refeeding risk are related
to weight suppression, not presenting weight
◉ complications present in BED
Answer: metabolic and cardiovascular
◉ Eating disorders have med complications that can (list 3)
Answer: 1. affect every organ system
2. be irreversible
3. have significant morbidity and mortality
,◉ obstacles to comprehensive evaluation include (2)
Answer: focus on identifying medical crisis
lack of familiarity with newer dx and complications
◉ a comprehensive med approach includes (4)
Answer: 1. approach for all ages presenting for care
2. gender inclusive approach
3. eliminates weight/shape/size bias
4. account for intensity, frequency and duration of behaviors
◉ team approach includes (3 phases of evaluation)
Answer: 1. theraputic eval (recognize ed behaviors
2. nutrition eval (identify nutritional concerns r/t these
behaviors)
3. medical eval (evaluate medically with behavior-based lense)
◉ behavior-based med eval: Restriction
Answer: med complications result from intensity, duration and
frequency of restriction - can be present in all ED diagnoses
◉ med eval: Purging
Answer: complications result from intensity, freq, duration of
purging- imp to evaluate ALL Methods of purging
, ◉ med eval: Selective eating
Answer: complications result from the intensity, freq, and
duration of selctive eating - may result in issues with volume as
well as variety
◉ med eval: Binge eating
Answer: complications result from intensity, frq, and duration of
binge eating- recognize the role of wt bias in evaluating
◉ goals of med eval
Answer: 1. rule out other disorders
2. determine severity
3. evaluate med needs- any acute that need med intervention
medical support needed during treatment? (Refeeding)
Complications to address that make negaging in treatment
difficult or uncomfortable? Constipation
4. identify and mitigate med comp that may not be reversible
(Bone density
5. formulate plan of care
◉ need for acute med stabilization
Answer: bradycardia - needs stabilization
◉ med support during treatment (example)
Answer: refeeding syndrome
SOLUTIONS
◉ most common causes of morbidity and mortality (BN)
Answer: electrolyte and metabolic disturbances
◉ medical complications ARFID
Answer: nutritional deficiencies and growth disturbances
◉ AAN: Complications related to
Answer: complications of starvation and refeeding risk are related
to weight suppression, not presenting weight
◉ complications present in BED
Answer: metabolic and cardiovascular
◉ Eating disorders have med complications that can (list 3)
Answer: 1. affect every organ system
2. be irreversible
3. have significant morbidity and mortality
,◉ obstacles to comprehensive evaluation include (2)
Answer: focus on identifying medical crisis
lack of familiarity with newer dx and complications
◉ a comprehensive med approach includes (4)
Answer: 1. approach for all ages presenting for care
2. gender inclusive approach
3. eliminates weight/shape/size bias
4. account for intensity, frequency and duration of behaviors
◉ team approach includes (3 phases of evaluation)
Answer: 1. theraputic eval (recognize ed behaviors
2. nutrition eval (identify nutritional concerns r/t these
behaviors)
3. medical eval (evaluate medically with behavior-based lense)
◉ behavior-based med eval: Restriction
Answer: med complications result from intensity, duration and
frequency of restriction - can be present in all ED diagnoses
◉ med eval: Purging
Answer: complications result from intensity, freq, duration of
purging- imp to evaluate ALL Methods of purging
, ◉ med eval: Selective eating
Answer: complications result from the intensity, freq, and
duration of selctive eating - may result in issues with volume as
well as variety
◉ med eval: Binge eating
Answer: complications result from intensity, frq, and duration of
binge eating- recognize the role of wt bias in evaluating
◉ goals of med eval
Answer: 1. rule out other disorders
2. determine severity
3. evaluate med needs- any acute that need med intervention
medical support needed during treatment? (Refeeding)
Complications to address that make negaging in treatment
difficult or uncomfortable? Constipation
4. identify and mitigate med comp that may not be reversible
(Bone density
5. formulate plan of care
◉ need for acute med stabilization
Answer: bradycardia - needs stabilization
◉ med support during treatment (example)
Answer: refeeding syndrome
