Image Based Question – 65823


A 21-year-old woman is brought into an outpatient clinic by her mother, who complains that her daughter has been demonstrating unusual eating patterns for 6 months. Her mother observes her eat large amounts of food, such as desserts, when she is alone, often finding food wrappers hidden in her daughter’s room. She is worried that her daughter may be engaging in vomiting after these episodes of heavy eating. She often isolates herself in the bathroom for 10-20 minutes after a large meal.
When the patient was asked about her eating habits, she admitted to a “loss of control.” She described feeling deep remorse when she eats more than she would like.On examination, she presents with bilateral parotid swelling, normal body weight and dental condition as shown in the picture below. What is the most probable diagnosis?

A. Adjustment disorder.

B. Bulimia Nervosa

C. Anorexia Nervosa.

D. Conversion reaction.


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