Psychological Aspects of Gastrointestinal Disease Flashcards Preview

07. Year 2: Alimentary System > Psychological Aspects of Gastrointestinal Disease > Flashcards

Flashcards in Psychological Aspects of Gastrointestinal Disease Deck (33)
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1

What are examples of psychological aspects of GI disease?

Organic disease

Functional GI disease

Psychological problems presenting as GI disease

Psychological problems caused by GI disease

Assessment

2

What should be remembered about fear and GI diseases?

Both acute and chronic GI diseases carry huge fears

3

Are functional GI diseases more common in younger or older people?

Younger people

4

What parts of the gut do functional GI diseases affect?

Every part of the gut

5

What are examples of upper GI functional diseases?

Reflux

Functional dyspepsia

Nausea vomiting syndromes

6

What is an example of an intestinal GI disease?

IBS

7

What is an example of a biliary functional GI disease?

Sphincter of Oddi dysfunction

8

What are the investigations and physical examination like for functional GI diseases?

Normal

9

What is some of the aetiology of functional GI diseases?

Motility

Gut hormones

Gut microbiome

Diet

Increased visceral sensation

Psychological factors

10

What are examples of psychological problems caused by GI disease?

Conditioning

Nausea and vomiting

Loss of appetite

Diarrhoea

Sexual problems

Stress

11

What are examples of psychological problems presenting as GI disease?

Stress

Anxiety

Depression

Somatisation

Eating disorders

 

12

What are examples of drugs that can cause GI problems?

Opiates

Amphetamines

Cocaine

Anticholinergics

Antidepressants

13

What is refeeding syndrome?

Metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved, severely malnourished or metabolically stressed due to severe illness

14

When does adaptive starvation occur?

Reduced intake of carbohydrates

Reduced secretion of insulin

15

What are the main sources of energy during adaptive starvation?

Fats and proteins

16

How does intra and extracellular phosphate change in adaptive starvation?

Intracellular phosphate is reduced

Extracellular phosphate may be normal

17

What are consequences of adaptive starvation due to low expenditure of energy?

Lethargy

Lack of physical activity

Atrophic gut, heart and muscles

Low micronutrient reserves

18

What does refeeding with carbohydrates cause in someone with adaptive starvation?

Rapid rise in insulin

Rapid generation of ATP

Phosphate moves into cells

Hypophosphataemia rapidly develops

19

What is the criteria for determining people at high risk of developing refeeding problems?

20

What things are considered when deciding if someone is at risk of developing refeeding problems?

BMI

Unintentional weight loss

Little or no nutritional intake

Low levels of potassium, phosphate or magnesium prior to feeding

21

What is the treatment for refeeding syndrome?

Correct fluid depletion (cautiously)

Thiamine at least 30 minutes before feeding starts

Feed at 5-10 kcal/kg over 24 hours

Gradual increase to requirement over 1 week

22

At what rate should people with refeeding syndrome be fed?

5-10 kcal/kg/ over 24 hours

Gradual increase to requirement over 1 week

23

What should be remembered about disordered eating and eating disorder?

They are different

24

What are examples of conditions that produce disordered eating?

Crohn's

Coeliac disease

Missing false teeth

25

What are the different categories of eating disorders?

Binge eating disorder

Bulminia nervosa

Anorexia nervosia

26

What is a binge eating disorder?

Binges

Gain weight

27

What is bulminia nervosa?

Restriction

Binges

Normal or near normal weight

28

What are symptoms/signs of anorexia nervosa?

Restriction of eating

Obsessive fear of gaining weight

Body dysmorphia (distorted self-image)

Over exercising

Amenorrhoea

29

What is amenorrhoea?

Lack of periods in women

30

What are some of the behaviours peopole with anorexia nervosa have in the pursuit of thinness?

Self-starvation

Self-induced vomiting

Compulsive activity and exercise

Use of laxatives

Diet pills

Herbal medicines

Deliberate exposure to the cold