NFSC456 Exam 2 Review Study Guide.
Diagnosis of ED with ICD Codes- Types - Answers✔ICD: International Classification of
Disease
Types: Anorexia Nervosa, Bulimia Nervosa, BED, OSFED, ARFID, PICA, Rumination Disorder
Anorexia Nervosa - Answers✔-restricting or binge/purge type
-persistent energy intake restriction; intense fear of gaining weight; or persistent behavior that
interferes with maintenance of appropriate weight
-mild starts at greater than 17 kg/m2 BMI and extreme goes to less than 15
Bulimia Nervosa - Answers✔-includes recurrent episodes of binge eating following by
inappropriate compensatory behaviors in an effort to prevent weight gain, and self-evaluation
that is unduly influenced by body shape and weight
-use of ipecac, thyroid meds use
Binge Eating Disorder (BED) - Answers✔- recurrent episodes of binge eating (characterized by
eating in a discrete period of time and amount of food that is larger than most individuals would
consume and there is a lack of sense of control over eating)
Other specified Feeding or Eating Disorder (OSFED) - Answers✔-significant distress or
impairment in social, occupational, or other important areas of function
-does not meet full criteria of other diagnostic classes
-Examples include atypical AN within normal or above normal but with restriction of energy
intake and BN compensatory that occurs less than once a week or for less than 3 months (purge
disorder, night eating)
Avoidant/Restrictive Food intake disorder (ARFID) - Answers✔-Patients exhibit
restrictive/avoidant eating behaviors that result in significant weight loss, impaired growth,
nutritional deficiencies, and reliance on eternal feedings/supplements as well as impaired
psychological functioning.
-
-Not associated with body image dissatisfaction or fear of gaining weight
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PICA - Answers✔Persistent eating of nonnutritive, nonfood substances over a period of at least 1
month
Rumination Disorder - Answers✔Repeated regurgitation of food over a period of at least 1
month and regurgitated food may be rechewed, re-swallowed, or spit out
ED biological basis - Answers✔-AN and BN are as heritable as other psychiatric conditions
-They alter brain structure, metabolism, and neurochemistry which makes it hard behaviors to
discontinue
-people develop weaker signals and reliability about taste, hunger, fullness (neurotransmitters
and hormones)
Lanugo - Answers✔a common physical finding of AN; a soft, downy hair growth on the face or
extremities
Mallory-Weiss tear - Answers✔A tear of the tissue of your lower esophagus; most often caused
by violent coughing or vomiting
Orthorexia - Answers✔an eating pattern characterized by an obsession for and fixation on
healthy eating.
-not categorized as an ED
-problems fall on people that become fixated on healthy eating and end up damaging their own
well-being by adherence to strict food rules
Russell Sign - Answers✔Nondescript dorsale legions caused by repeated contact of the incisors
to the skin of the hand that occur during self-induced vomiting
Refeeding syndrome - Answers✔-appears when food is introduced too quickly after a period of
malnourishment.
-Shifts in electrolyte balance can cause serious complications, such as HF, seizures, coma, and
sometimes death.
-cardiac, neurologic, and hematologic complications
Nutrition Assessment Red Flags of ED - Answers✔-weight history
-weighing self frequently
-exercise/activity excessive
-"forbidden" vs "safe" foods
-menstrual cycle
-24 hour recall