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Research draft

pica

vr.tr.pica · XCT.STA

Let an agent explain pica in general terms, distinguish clinical pica from culturally sanctioned practices such as geophagy, relay assessment and management information from clinical sources, and route personal or child concerns to clinicians.

Thing Registry Cross-cutting context

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain pica in general terms, distinguish clinical pica from culturally sanctioned practices such as geophagy, relay assessment and management information from clinical sources, and route personal or child concerns to clinicians.

An eating disorder in which a person persistently eats non-food substances such as earth, clay, ice, paper, hair or starch for at least a month in a way not appropriate to their developmental level or culture; it occurs in children, in pregnancy and with iron deficiency, autism and intellectual disability, and can cause poisoning, obstruction and infection.

What it is for: Not applicable; a disorder.

It can be explain the condition and its associations; distinguish clinical pica from cultural practices; relay assessment and management information; route concerns to clinicians.

Distinguishing features

Eating non-food substances

Associated with iron deficiency, pregnancy and developmental conditions

Cultural geophagy is excluded from the diagnosis

Risk of poisoning and obstruction

What it looks like

Not visible as an object; the behaviour of eating non-food substances.

Physical character

duration criterion: at least 1 month - diagnostic classifications

How it is recognised

Persistent eating of non-nutritive substances

Not explained by developmental stage or cultural practice

Rumination and other eating disorders are different conditions

Related models

is a kind of - the diagnostic category

eating disorder

is associated with - a common association

iron deficiency anaemia

is distinguished from - cultural practice is excluded

geophagy

is studied by - the specialty

psychiatry

In practice

Families and kinds

pica in children

pica in pregnancy

pica with developmental and intellectual disabilities

named forms by substance such as geophagy, pagophagia and trichophagia

culturally sanctioned geophagy, which is not a disorder

Identifiers

ICD-10 F50.8 and F98.3 adult and childhood codes

ICD-11 6B84

DSM-5 307.52

Standards and regulation

Diagnostic classifications ICD and DSM

Clinical guidelines on eating disorders

Child safeguarding and lead poisoning prevention guidance

Failure modes and hazards

Lead and other poisoning

Intestinal obstruction and bezoars

Parasitic infection from soil

Agents giving personal medical advice

Also called

dermatophagiatrichophagiageophagyxylophagyxylophagiaurophagiahuman coprophagiapagophagiaamylophagiageomelophagiahyalophagia

Where this came from

wikidata · CC0 1.0

Also registered as vr.tr.pica

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Understand What pica is.

General information.

Definition

Definition.

Definition

Definition.

  1. What defines pica, and what associations and causes are described? definition
  2. Is the user asking about a specific person or child, which needs a clinician? boundary

Culture

Cultural practices.

Culture

Culture.

  1. How is clinical pica distinguished from culturally sanctioned geophagy and similar practices? boundary
  2. Is the presentation neutral about cultural practices? boundary
Assess Assessment.

Clinical.

Assessment

Assessment.

Assessment

Assessment.

  1. How is pica assessed, and which investigations are typical, in general terms? provenance
  2. Which entry fits iron deficiency? action

Risks

Complications.

Risks

Risks.

  1. What complications can arise, and which need urgent care? provenance
  2. Is the user describing an emergency, which must be routed? boundary
Manage Management.

Care.

Treatment

Approaches.

Treatment

Treatment.

  1. What management approaches do guidelines describe, from nutritional correction to behavioural support? provenance
  2. Is the presentation free of personal treatment advice? boundary

Support

Support.

Support

Support.

  1. What support exists for families and carers? provenance
  2. Which entry fits eating disorder services? action
Study Research and history.

Study.

Research

Research.

Research

Research.

  1. What is known about prevalence and causes, with findings attributed? provenance
  2. Which references are standard? provenance

History

History.

History

History.

  1. How has pica been described historically and across cultures? provenance
  2. Which entry fits geophagy? action

What the second pass must settle

  • Should geophagy as cultural practice be a separate entry?
  • How should clinical guidelines be linked?
  • The registry entry has merged aliases naming specific substances; should they be split off?