Question

A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:

Answer 1

The symptoms described suggest the presence of bulimia nervosa, an eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors. Physical signs such as tooth enamel erosion and knuckle scars are common in individuals with bulimia.

Step-by-step explanation:

The symptoms described in the question, including bradycardia (abnormally slow heart rate), multiple erosions of tooth enamel, and scars on the knuckles, suggest the presence of an eating disorder called bulimia nervosa.

Bulimia nervosa is a psychiatric disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors, such as self-induced vomiting, excessive exercise, or the use of laxatives or diuretics, to prevent weight gain.

Individuals with bulimia often have physical signs such as dental erosion from the frequent exposure of tooth enamel to stomach acid during vomiting and scars on the knuckles from repeated trauma caused by inducing vomiting.

Answer 2

A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:binges and vomits

Step-by-step explanation:

In young girls, usually bradycardia, multiple erosion of tooth enamel, and scars on her knuckles are characteristics of chronic, self-induced vomiting which is a sign of bulimia.

Amenorrhea occurs due to an increase in the physical activity or anorexia. Constipation and cold intolerance are some common symptoms of anorexia nervosa.

A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:binges and vomits