Bulimia

Question 1

Physical complications

Answer 1

Hypokalemia
Hypochloremia
Hyperphosphatemia (note in anorexia a low phosphate level is usually seen)
Metabolic alkalosis (if induced vomiting is main method)
Metabolic acidosis (if purging is main method)

Parotid gland enlargement (sialadenosis)
Dental erosion
Gastric and oesophageal rupture
Seizure

Question 2

Sialadenosis

Answer 2

Sialadenosis refers to noninflammatory, often recurrent, enlargement of the salivary glands, most frequently the parotids, which is almost always associated with an underlying systemic disorder. These include diabetes, alcoholism, malnutrition, anorexia nervosa, and bulimia.
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