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Bulimia nervosa is a serious mental health problem which can cause complex physical health outcomes. Hereâs a thread of the possible physical complications that can occur from BN. An example of why mental and physical illness shouldnât be viewed separately. #eatingdisorders
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1/11
Cardiovascular: Arrhythmiaâs, cardiac failure or even sudden death. Low pulse, hypotension, irregular heartbeat beat.
2/11
2/11
Renal system:
-severe oedema
-Electrolyte abnormalities: Hypokalaemia, hyponatremia, hypochloremia, metabolic alkalosis (from vomiting), metabolic acidosis (laxative misuse), hypophosphatemia, hypomagnesemia, hypocalcaemia.
- Renal calculi
- Renal failure.
3/11
-severe oedema
-Electrolyte abnormalities: Hypokalaemia, hyponatremia, hypochloremia, metabolic alkalosis (from vomiting), metabolic acidosis (laxative misuse), hypophosphatemia, hypomagnesemia, hypocalcaemia.
- Renal calculi
- Renal failure.
3/11
Gastrointestinal:
- Parotid swelling
- Dental erosion
- Oesophageal erosion/ perforation
- Gastric/ duodenal ulcers
- Bloating
- constipation.
4/11
- Parotid swelling
- Dental erosion
- Oesophageal erosion/ perforation
- Gastric/ duodenal ulcers
- Bloating
- constipation.
4/11
Skeletal:
- Osteoporosis
- Pathological fractures.
5/11
- Osteoporosis
- Pathological fractures.
5/11
Endocrine:
- Oligomenorrhoea/ Amenorrhoea
- (mensural problems/ disturbances)
- Also, check out the link between PCOS and eating disorders.
6/11
- Oligomenorrhoea/ Amenorrhoea
- (mensural problems/ disturbances)
- Also, check out the link between PCOS and eating disorders.
6/11
Neurological (not including psychological symptoms):
- Generalised seizures
- Confusional states
- EEG abnormalities
- Peripheral neuropathies
7/11
- Generalised seizures
- Confusional states
- EEG abnormalities
- Peripheral neuropathies
7/11
Haematological:
Leukopenia & Lymphocytosis
8/11
Leukopenia & Lymphocytosis
8/11
Metabolic:
- impaired temperature regulation
- Hypercholestrolemia
- Hypoglycaemia
9/11
- impaired temperature regulation
- Hypercholestrolemia
- Hypoglycaemia
9/11
Dermatological:
- Lanugo
- Brittle hair and nails
- Calluses on Dorian of hands.
- Dry skin
10/11
- Lanugo
- Brittle hair and nails
- Calluses on Dorian of hands.
- Dry skin
10/11
Diabulimia (often forgotten about!!)
âAn eating disorder in which people with type 1 diabetes deliberately give themselves less insulin than they need or stop taking it altogether for the purpose of weight lossâ.
11/11
âAn eating disorder in which people with type 1 diabetes deliberately give themselves less insulin than they need or stop taking it altogether for the purpose of weight lossâ.
11/11
Just to add: this is just some of my revision notes (on bulimia only) today. Please add anything Iâve missed 
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This is a good visual read too:
