Dr. holemon- Medical Management of ED
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Transcript of Dr. holemon- Medical Management of ED
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Medical Management of Eating Disorder
Dr. Dawn Holemon
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Diagnostic Assessment
• Psychiatric
• Medical
• Anorexia nervosa• Bulimia nervosa• ED, nos
• Risk increased with rapid weight change, purging, onset of binges, non compliance with medication
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AN, BN or ED, nos
• Refer for inpatient or residential care Pregnancy Diabetes mellitus Abnormal EKG Deficiencies of potassium, magnesium or phosphorus Suicidal ideation
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EKG
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Associated disorders
• MedicalPANDASPCOS
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Associated disorders
• PsychiatricMajor depressionAnxiety disorderBipolar disorderAlcohol and/or drug dependence or abuseBody dysmorphic disorder
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Laboratory tests commonly indicated in eating disorder
Liver enzymesBlood countSerum creatinine,
ferritin, vitamin B12
RBC FolateMagnesium,
Phosphorus, Amylase, Potassium, Sodium
TSH
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Laboratory tests commonly indicated in eating disorder
UrinalysisUrine drug screenEKGBone density
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Medical complications of eating disorder
EdemaWeaknessShortness of breathCardiac arrhythmiasChest painConfusionLoss of consciousness
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Medical complications of eating disorder
Refeeding syndrome
-imbalance of electrolytes and fluid -risk factors -symptoms to monitor
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Psychotropic medications used to treat eating disorder
SSRISNRITCAMAOI
Other antidepressantTrimonoamine
modulator
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Psychotropic medications used to treat eating disorder
Mood stabilizersAntipsychotics, 1st generationAntipsychotics, 2nd generation
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Psychotropic medications used to treat eating disorder
Anxiolytics, non benzodiazepineBenzodiazepines, short-actingBenzodiazepines, mid-actingBenzodiazepines, long-acting
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Psychotropic medications used to treat eating disorder
InsomniaADHDDependence, opioidDependence, nicotine
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Common side effects of medications used to treat eating disorder
LightheadednessSedationDry mouthConstipation
HeadacheAcid refluxnausea
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Less common side effects of medication used to treat eating
disorder
ParasthesiaEPSEWeight gain/lossGalactorrhea
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Recent research in neuropsychiatry