Snapshot A 24-year-old woman visits her gynecologist for an annual visit. She has no physical complaints. Her BMI is 24 kg/m2. On exam it is noted that she has enlarged parotid glands and poor dentition. Upon further questioning, she admits that she binges on pizza and pasta at least once or twice week. She admits to feeling guilty after these episodes of excessive consumption and takes laxatives after binging. Introduction Overview login to view 1 more bullet Epidemiology Prevalence login to view 3 more bullets Demographics login to view 1 more bullet Risk factors login to view 1 more bullet ETIOLOGY Pathophysiology login to view 1 more bullet Presentation Symptoms login to view 9 more bullets Physical exam login to view 5 more bullets Studies Basic metabolic panel login to view 2 more bullets ECG login to view 1 more bullet Differential Anorexia nerviosa login to view 2 more bullets Binge-eating disorder login to view 2 more bullets Treatment Stabilization login to view 6 more bullets Lifestyle login to view 2 more bullets Medical login to view 3 more bullets Complications Electrolyte disturbances login to view 2 more bullets Prognosis ~50% of patients with bulimia will recover fully ~30% of patients have partial recovery while 10-20% continue to have chronic symptoms