Eating Disturbance: Differential Diagnosis of Weight Loss

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Eating Disturbance: Differential Diagnosis of Weight Loss by Mind Map: Eating Disturbance: Differential Diagnosis of Weight Loss

1. Gastrointestinal

1.1. Dysphagia (swallowing problems)

1.2. Peptic (stomach) ulcer

1.3. Inflammatory Bowel Disease

1.3.1. Crohns Diesease

1.3.2. Ulcerative Colitis

1.4. Coeliac Disease

2. Psychiatric Disorder

2.1. Depression

2.1.1. anorexia (loss of appetite) common symptom but no fear of weight gain

2.2. Schizophrenia

2.2.1. May have paranoid delusions about poisoned food but no fear of weight gain

2.3. Eating Disorder

2.3.1. Anorexia Nervosa

2.3.1.1. Self-induced weigh loss by dietary restriction, potentially with compensatory behaviours. Specific psychopathology of fear of weight gain.

2.3.1.2. BMI<17.5 or 15% expected. AN diagnosis given precedence over BN if below threshold

3. Behavioural Problem

3.1. Feeding Disorder

3.1.1. Most affects pre-school age children

3.1.1.1. 25%-45% of typically developing pre-school age children

3.1.1.2. Up to 80% of developmentally disabled children

3.1.2. Involves

3.1.2.1. Food refusal

3.1.2.2. disruptive mealtime behaviour

3.1.2.3. Rigid food preferences

3.1.2.4. Suboptimal growth

3.1.2.5. Failure to master self-feeding skills

4. Symptom of Medical Condition

4.1. Most common causes

4.1.1. Bereavement

4.1.2. Stress

4.1.3. Hyperthyroidism (overactive thyroid) or Over-treating Hypothyroidism (underactive thyroid)

4.1.4. Cancer

4.1.4.1. Craniopharyngiomas

4.1.4.2. Other malignancies

4.2. Less common causes

4.2.1. Endocrine

4.2.1.1. Addison's Disease

4.2.1.2. Uncontrolled Diabetes Mellitus

4.2.1.3. Pituitary Prolactinoma

4.2.2. Inflammatory

4.2.2.1. Rheumatoid Arthritis

4.2.2.2. SLE (Lupus)

4.2.3. Infection

4.2.3.1. Persistent Gastroenteritis

4.2.3.2. Tuberculosis

4.2.3.3. HIV/AIDS

4.2.3.4. Post viral

4.2.3.4.1. Chronic fatigue syndrome

4.2.4. Neurological

4.2.4.1. Dementia

4.2.4.1.1. May be unable to communicate eating needs

4.2.5. Drug or Alcohol Misuse

4.2.6. Malnutrition