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

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Young adults, usually young women, who have salivary gland enlargement, knuckle scars and tooth decay as a result of chronic self-induced vomiting characterize bulimia. Amenorrhea can be from increased physical activity or anorexia; constipation, bloating, and cold intolerance are usually symptoms of anorexia nervosa.

A 17-Year-Old Girl Presents to the Clinic for a Sport's