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Old 08-22-2012
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Default How would you treat a pt with this eating disorder?

A 17-year-old girl is brought to the clinic by her mother. Since starting college, the mother states that her daughter seems to be acting strangely. She says that at meal times, her daughter will eat much more food than in the past. She is concerned because in spite of the increased intake, she does not seem to be gaining weight. There is no drug or alcohol use, and the girl has really enjoyed college so far. Her daughter is 5 feet, 7 inches tall and weights 128 lbs (BMI: 20). Physical examination is significant only for enlarged parotid glands bilaterally and a small amount of tooth decay. When the girl leaves the examining room, her mother says that she found laxative pills in the girl’s bedroom. Which of the following is the most appropriate treatment of this patient?

a) Amitriptyline
b) Fluoxetine
c) Haloperidol
d) Lithium
e) Lorazepam
f) Phenelzine
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Old 08-23-2012
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Originally Posted by Casandra View Post
A 17-year-old girl is brought to the clinic by her mother. Since starting college, the mother states that her daughter seems to be acting strangely. She says that at meal times, her daughter will eat much more food than in the past. She is concerned because in spite of the increased intake, she does not seem to be gaining weight. There is no drug or alcohol use, and the girl has really enjoyed college so far. Her daughter is 5 feet, 7 inches tall and weights 128 lbs (BMI: 20). Physical examination is significant only for enlarged parotid glands bilaterally and a small amount of tooth decay. When the girl leaves the examining room, her mother says that she found laxative pills in the girl’s bedroom. Which of the following is the most appropriate treatment of this patient?

a) Amitriptyline
b) Fluoxetine
c) Haloperidol
d) Lithium
e) Lorazepam
f) Phenelzine
Would go with B, case of bulimia nervosa
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Old 08-23-2012
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b is the answer

SSRI are used for bullimics....fluoxetine is the only ssri mentioned in the choices

as for other choices haloperidol-----for schizophrenia,tourette,huntington's chorea

lithium-----for bipolar disorders,SIADH
phenelzine---- for atypical depression
amitryptilline----major depression,fibromyalgia
lorazepam------status epilepticus
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Old 08-23-2012
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Default Oh boy! someone is bulimic out there ;-)

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Originally Posted by venky2600 View Post
b is the answer

SSRI are used for bullimics....fluoxetine is the only ssri mentioned in the choices

as for other choices haloperidol-----for schizophrenia,tourette,huntington's chorea

lithium-----for bipolar disorders,SIADH
phenelzine---- for atypical depression
amitryptilline----major depression,fibromyalgia
lorazepam------status epilepticus
Ya agreed. SSRI
but do anyone have any mnemonic for SSRI's i always forget there drugs names.
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Old 08-23-2012
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Default correct answer :)

The answer is b) Fluoxetine

The patient has bulimia nervosa. This condition is marked by distorted self-image in which patients engage in binge eating followed by purging behavior (vomiting, use of laxatives, and diuretics). Patients with this condition often have normal body weight. To treat bulimia nervosa, psychiatric care is needed because the condition is rooted in abnormal self-image. In terms of pharmacology, fluoxetine is the only approved medication.
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