Chapter 076. Eating Disorders (Part 2)

Table 76-1 Common Characteristics of Anorexia Nervosa and Bulimia Nervosa Anorexia Nervosaa Bulimia Nervosa Clinical Characteristics Onset Mid-adolescence Late adolescence/early adulthood Female:male 10:1 10:1 Lifetime prevalence 1% 1–3% in women Weight Markedly decreased Usually normal Menstruation Absent Usually normal Binge eating 25–50% Required diagnosis for Mortality 5% per decade Low Physical and Laboratory Findingsa Skin/extremities Lanugo Acrocyanosis Edema Cardiovascular Bradycardia Hypotension Gastrointestinal Salivary enlargement gland Salivary enlargement gland Slow emptying gastric Dental erosion Constipation Elevated enzymes liver Hematopoietic Normochromic, normocyctic anemia Leukopenia Fluid/Electrolyte Increased creatinine BUN, Hypokalemia Hypochloremia Hypokalemia Alkalosis Endocrine Hypoglycemia Low testosterone estrogen or Low LH and FSH ...