Show notes
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 thecurbsiders@gmail.com. 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