Diagnostic criteria 15 decrease in wt Fear of gaining wt Disturbed body image Amenorrhea Anorexia nervosa more in women adolescence dieting exercisevomitingpurgatives binge eating ID: 935960
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Slide1
Anorexia nervosa
Slide2Anorexia nervosa
Diagnostic criteria
15% decrease in wt.
Fear of gaining wt.
Disturbed body image
Amenorrhea
Slide3Anorexia nervosa
more in women
adolescence
dieting
exercise,vomiting,purgatives
binge eating
Psychotropic drugs in pregnancy and lactation
Lithium
Teratogenic
, 2nd trimester
Can reach toxic levels by lactation
Tricyclics
and antipsychotics
No
evedence
for
teratogenicity
Better avoid during lactation
BDZ
Floppy baby, withdrawal syndrome
Slide5Anorexia nervosa
Complications
emaciation,bradicardia,hypotension,hypothermia,lanugo
hair,odema,dental
enamel erosion
Slide6Anorexia nervosa
Lab findings
Dehydration, anemia,
lucopenia
, metabolic alkalosis, liver function impairment, low sex hormones
Slide7Anorexia nervosa
Etiology
social,thinnes,ballet
sp. Pathology
Control
Avoid maturity
15% death
Slide8Anorexia nervosa
Management
Behavioral
Drugs
Psychotherapy
Slide9Bulimia nervosa
Binge eating
Behaviors to compensate: exercise etc.
Normal body wt.
Again adolescent female
Slide10Bulimia nervosa
Etiology
Similar,
wt.preoccupation
Complications
low K, renal damage, arrhythmia, enamel erosions
Management;
cognitive behavior therapy
Slide11Post partum psychiatric disorders
Post partum psychiatric disorders
maternity blues
puerperal psychosis
depression
Slide12Post partum psychiatric disorders
Maternity blues
2-3 days after delivery
Resolve rapidly
Liability, tearfulness, irritability
1
st
delivery, 3rd trimester depression, PMT
Slide13Post partum psychiatric disorders
Puerperal psychosis
1/500 births
1
st
child, previous or family history
Affective, schizophrenic, organic
15-20 relapse
Slide14Post partum psychiatric disorders
Mild to moderate depression
10-15 %
2 weeks
Poor social support,
Social and psychological interventions