[N-clex] Eating disorder

AN,BN 공통점

- major disoder, dysthymia(기분저하증)

AN(Anoreixa Nervosa, 신경성 식욕부진)	BN(Bulimia nervosa, 폭식증)
음식 관심 多 OCD(obsessive compulsive disorder) 강박장애 ex) 모델, 발레리나 등	anxiety disorder PTSD, substance abuse(alcohol, med등) antisocial disorder
13~20y intense, irrational belief(body) appetite denial metabolic, endocrine amenorrhea(무월경) osteopresis cold intolerance brady cardiac constipation acid base, fluid imbalance lanugo wt ↓ 안먹어서 문제	15~18y(17~25y) vomiting, laxative, diuretic abuse hypokalemia(구토해서) muscle weakness (DTR↓) gastric esophageal bowel abnormalities erosion(피부병변) callus(굳은살) 먹고 토해서 문제
강제입원 oral potassium -> K 2.5↓ HR 110↑, 45↓ 3month 이내 25% wt↓ BT 36.0↓ SBP 70↓ dehydration 심한

Tx

	Antipsyclotics	SSRI
		Acute	Relapse 방지
AN	X	X	modest = slight
BN	X	considerable	modest = slight