#55: Eating disorders: Specified and Not Otherwise Specified
Published September 4, 2017
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76 min
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    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

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    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

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