#55: Eating disorders: Specified and Not Otherwise Specified

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 4 September 2017

⏱️ 76 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Enhance your skills in the identification and management of eating disorders with clinical pearls from Dr. Rosalind Kaplan, Clinical Associate Professor of Medicine at Thomas Jefferson University and a Primary Care Physician in Jefferson Women's Primary Care. We learn who to screen for eating disorders, what questions to ask, criteria for diagnosis, common complications, and how to manage them. This is a must listen if you’re like us and don’t know much about eating disorders specified and not otherwise specified.

Full show notes available at http://thecurbsiders.com/podcast

Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected].

Case from Kashlak Memorial Hospital: 24yo F medical student with history of anxiety, weight loss, and restricting food senior year of high school. She regained weight with psychotherapy. Now she is a medical student who is over exercising, and abusing laxatives. She passes out one day after class and is referred to you at Kashlak.

Time Stamps:

00:00 Intro

01:19 Listener feedback

02:43 Picks of the week

06:50 Topic intro and guest bio

09:10 Getting to know our guest

15:18 Clinical case

20:15 Broad overview of eating disorders

26:40 Eating disorder not otherwise specified

29:19 Underreporting and under diagnosis in men

30:25 Who to screen and how to do it

34:33 Questionnaires: SCOFF, ESP, and Binge Eating Disorder Inventory

38:42 Initial lab workup for eating disorders

42:38 Bone density screening, treatment

45:41 Back to the case: Initial patient counseling

49:22 Medical therapy

52:20 Can we use bupropion?

54:02 What’s the role for primary care?

58:14 Hyponatremia in eating disorders

60:34 Complications of purging

66:25 How to be an ally for your patient

69:12 Treatment for binge eating

72:51 Take home points

74:30 Outro

Tags: anorexia, nervosa, bulimia, eating, disorder, weight, loss, binge, binging, purge, electrolytes, not, otherwise, specified, ideal, body, image, treatment, screening, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student

Transcript

Click on a timestamp to play from that location

0:00.0	Tell them you have the strength. You're using all the strength to walk around with no nutrition
0:10.8	in your body to walk around fluid depleted. If you have the strength to use it that way,
0:15.6	you have the strength to stop doing these things too and I believe that you can.
0:30.0	Welcome back to the Curve Siders, the internment. Hey Stuart, this is the internal medicine
0:41.5	podcast that uses expert interviews to bring you clinical pearls and practice changing
0:45.8	knowledge. I'm Dr. Dr. Matthew Otto here with my co-hosts, Dr. Stuart Brigham and Dr.
0:51.4	Paul Williams. Hey Matt, why is it always surprising when I interrupt you? You're like kind
0:55.6	of stumbling off. Yeah, I guess I should stop being surprised. I'll work on that. Thank
1:00.7	you. Yeah. It's going to happen every time. Good. Good. Good. And Paul, where are you at?
1:08.1	I'm right here right here with this. You're like I've always been excellent. Thank you. I was
1:13.5	getting worried. You know, I I forgot to bring in some specific listener feedback for you
1:19.3	to read here, Stuart. So why don't I just why don't I just pick one at random and I was
1:26.0	going to pick one. You have one. You have one that you want to read. I have an proofread
1:31.2	at first. Let's see. It says, Hello, Curve Siders. I'm an MS4 spiring internist and I
1:36.8	relatively new listener. I have a 50 minute one-way commute to my training hospital. And today
1:41.5	I turned off another podcast. I won't say which one after less than 30 seconds and switch
1:46.2	back to yours. You're like the MTV in a world of C-SPAN medical podcasts. Winky face.
1:52.5	Thanks, especially for today's Anemia episode. I used to work in hospital lab as a medical
1:58.8	laboratory scientist. And I think many physicians could use more education about ordering and
2:03.3	interpreting tests in the context of a patient's clinical status off to clinic. Thanks again for
2:08.1	keeping me informed on my morning drive. Wait, that's to you. Did they call us MTV in a world of C-SPAN?
2:16.4	Yes, that's correct. You heard that. I like that quote. We're not sure how I feel about that.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.