. leading to a habitually low body wt. or a wide tiuctuation in weight due. to regular purging and its cornplications

leading to a habitually low body wt. or a wide tiuctuation in weight due. to regular purging and its cornplications. Many pts suffer from anxiety and affective desorders anorexia nervosa - is characterised by saff-imposed starvation in relentness pursuit of thinness and fear of fatness. leading to varing degrees of emaciation bulimia nervosa - is characterised by episodes of binge (bullima) associated with compensaory behaviours. such as vomlting or laxative misuse. it is accompanied by a sense of loss of control and a strong desire for a thinner body Pts. rnay show title wt. loss or may evan be obese The symptom of bulima can be feature of other medical or a component of anorexia nervosa. CLICAl FEATURES main feature of eating disrders are an avxaggerated desire thinnesss and intense fear of the being fat. the intense drive for thinness generates unusua eating behaviours or toying with food rather than eating it. or secretly disposing of food d food For pts with anorexia nervosa who also displtay. forbidden' foods are typically those consumed In a binge (l.e high calorie. carbohydrate-rich items) binges are followed by efforts to countract the ingestion of excessive calories by vomiting, laxative. or duretic abuse. severa food restriction of vigorous exa. severe food restriction or vigorous exarcising. anorexic woman may present with amenorrhoea and infertility, and with vaglnismus and frgldify The pt with anorexia usually admits that her wt. loss is self-inducect this is important diagnostically. PHYSICAL. SINGS. of anorexia nervosa emaciated appearance Fine downy lanugo hair Hair loss from scalp carotene pigmention of soles and plan Bradycardia and hypotension bruses trorn subsequent falts Fractures from osreoporosis Parotid entargement Calluses knockless (from repeated vorniting by