manic episodes are shorter episodic
ignore the "two or more symptoms for six months or more"
pramipexole - alzheimer's, parkisoni, restless leg sydrome
can have specific problems like vitamin deficiencies and hypok so ecg
usual cause of death is arrthymia from hypoK small t waves
MWT - painless haemetemesis
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in bulimia nervosa dont have distorted body images
distored body image is a key feature of anorexia nervosa
vomitting, laxatives or exercesis
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Patient be present in medcial or surgical ward
Must check for anorexia nervosa DD for stravation
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preoccupation ⇒ body weight and shape
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One of the indication for getting better is start of periods
body image distortion = can ask to draw the figure
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Physcial, emotional, sexual and neglect
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Russel sign even in bulimia
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empathetic = from pts point of view
What why comlications treatment prognos/how long = 5 areas for patient education in psychiatry
CBT = why why why + anternative explaiantion and test this and see
anorexia characteristics is distorted body image
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Bullimia nervosa
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Difs: self image, body weight and eating a lot. Anxiety vs guilt.
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Alcoholism vs bulimia nervosa?
morbid feat of fatness = actual distorted
body weight vs body image
minority of depression or anxiety can be over eating.
above 30 BMI obesity
bereavement = loss of a loved one in death
If in progression to the criteria = provisional diagnosis of that disease
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Marrow
2019
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YouTube
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