fbpx

ADVERTISEMENT

ADVERTISEMENT

Anorexia nervosa

Updated : November 29, 2022





Background

The eating illness known as anorexia nervosa is characterized by a reduction in caloric intake compared to needs, which results in noticeably low body mass. Patients who are unable to comprehend the gravity of their very low body fat will experience distorted body image, extreme anxiety about gaining weight, and body dysmorphia.

Epidemiology

Females are more likely than guys to suffer from anorexia nervosa. Young adulthood and late youth are the times of onset. Regardless of ethnicity, color, or culture, the lifetime prevalence is 0.3 percent to one percent (European research has shown a prevalence of two percent to four percent).

Child obesity, mood disturbances, female sex, personality qualities (perfectionism and impulsivity), sex assault, or weight-related worries from peer or familial surroundings are risk factors for disordered eating.

Anatomy

Pathophysiology

Studies show that in addition to environmental variables, genetic factors also play a part in the development of anorexia nervosa. There are genetic links between neuroticism, schizophrenia, and education level.

Dopamine (which regulates dietary habits & rewards) & serotonin (which regulates impulsivity & neuroticism) deficits, differential stimulation of the corticolimbic framework (which regulates appetite and fear), & habitual behaviors (decreased activity) among the frontostriatal circuits are all symptoms of anorexia nervosa.

Co-occurring mental diseases in patients include major depression & generalized anxiety disorder, among others.

Etiology

Numerous professions rely on a person’s weight for success. Models & performers present a level of slimness that is challenging to achieve; make-up & photographic manipulations enhance this image.

Ballet dancers, marathon runners, & martial artists all face pressure to keep lean body compositions in order to perform better than their rivals.

Media outlets frequently advertise weight-loss strategies & dietary secrets. Populations like mature females associate losing weight with self-control & associate slender body types with higher self-esteem.

Genetics

Prognostic Factors

In AN, remission can vary. In outpatient clinical settings, three-fourths of individuals remit after five years, and the same proportion has intermediate-good results (such as weight gain). Patients with co-morbid psychiatric problems, lower body fat/weight at the end of treatment, older age groups with longer disease durations, and those who receive therapy outside of specialized clinics are more likely to relapse.

Patients who experience limited remission frequently acquire new eating disorders (ex., unspecified eating disease or bulimia nervosa). Compared to the general population, AN had higher rate of all-cause fatality. Among all disordered eating, it has one of the higher fatality rates because of health issues, drug misuse, & suicide. Suicide is more common in AN patient, and it accounts for 25 percent of related deaths.

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

 

dronabinol 

dronabinol is indicated for anorexia due to AIDS
In case of anorexia, the patient should take 2.5 mg of oral capsules of dronabinol every 12 hours before meals
Do not exceed the dose to more than 20 mg/day



 
 

Media Gallary

References

https://www.ncbi.nlm.nih.gov/books/NBK459148/

ADVERTISEMENT 

Anorexia nervosa

Updated : November 29, 2022




The eating illness known as anorexia nervosa is characterized by a reduction in caloric intake compared to needs, which results in noticeably low body mass. Patients who are unable to comprehend the gravity of their very low body fat will experience distorted body image, extreme anxiety about gaining weight, and body dysmorphia.

Females are more likely than guys to suffer from anorexia nervosa. Young adulthood and late youth are the times of onset. Regardless of ethnicity, color, or culture, the lifetime prevalence is 0.3 percent to one percent (European research has shown a prevalence of two percent to four percent).

Child obesity, mood disturbances, female sex, personality qualities (perfectionism and impulsivity), sex assault, or weight-related worries from peer or familial surroundings are risk factors for disordered eating.

Studies show that in addition to environmental variables, genetic factors also play a part in the development of anorexia nervosa. There are genetic links between neuroticism, schizophrenia, and education level.

Dopamine (which regulates dietary habits & rewards) & serotonin (which regulates impulsivity & neuroticism) deficits, differential stimulation of the corticolimbic framework (which regulates appetite and fear), & habitual behaviors (decreased activity) among the frontostriatal circuits are all symptoms of anorexia nervosa.

Co-occurring mental diseases in patients include major depression & generalized anxiety disorder, among others.

Numerous professions rely on a person’s weight for success. Models & performers present a level of slimness that is challenging to achieve; make-up & photographic manipulations enhance this image.

Ballet dancers, marathon runners, & martial artists all face pressure to keep lean body compositions in order to perform better than their rivals.

Media outlets frequently advertise weight-loss strategies & dietary secrets. Populations like mature females associate losing weight with self-control & associate slender body types with higher self-esteem.

In AN, remission can vary. In outpatient clinical settings, three-fourths of individuals remit after five years, and the same proportion has intermediate-good results (such as weight gain). Patients with co-morbid psychiatric problems, lower body fat/weight at the end of treatment, older age groups with longer disease durations, and those who receive therapy outside of specialized clinics are more likely to relapse.

Patients who experience limited remission frequently acquire new eating disorders (ex., unspecified eating disease or bulimia nervosa). Compared to the general population, AN had higher rate of all-cause fatality. Among all disordered eating, it has one of the higher fatality rates because of health issues, drug misuse, & suicide. Suicide is more common in AN patient, and it accounts for 25 percent of related deaths.

dronabinol 

dronabinol is indicated for anorexia due to AIDS
In case of anorexia, the patient should take 2.5 mg of oral capsules of dronabinol every 12 hours before meals
Do not exceed the dose to more than 20 mg/day



https://www.ncbi.nlm.nih.gov/books/NBK459148/

Free CME credits

Both our subscription plans include Free CME/CPD AMA PRA Category 1 credits.

Digital Certificate PDF

On course completion, you will receive a full-sized presentation quality digital certificate.

medtigo Simulation

A dynamic medical simulation platform designed to train healthcare professionals and students to effectively run code situations through an immersive hands-on experience in a live, interactive 3D environment.

medtigo Points

medtigo points is our unique point redemption system created to award users for interacting on our site. These points can be redeemed for special discounts on the medtigo marketplace as well as towards the membership cost itself.
 
  • Registration with medtigo = 10 points
  • 1 visit to medtigo’s website = 1 point
  • Interacting with medtigo posts (through comments/clinical cases etc.) = 5 points
  • Attempting a game = 1 point
  • Community Forum post/reply = 5 points

    *Redemption of points can occur only through the medtigo marketplace, courses, or simulation system. Money will not be credited to your bank account. 10 points = $1.

All Your Certificates in One Place

When you have your licenses, certificates and CMEs in one place, it's easier to track your career growth. You can easily share these with hospitals as well, using your medtigo app.

Our Certificate Courses