An 20-year-old girl visits her college student health office for a required physical. She complains of irritableness and concerns about decision-making now that she has left home. On exam she appears exceedingly thin, with decreased muscle mass and dry skin. She is hypotensive, with resting bradycardia.
What other finding is most likely to be present?
- Calluses on her hands/fingers
- Dental erosions
- Primary amenorrhea
- Secondary amenorrhea
This patient appears to be suffering from anorexia nervosa, as evidenced by weight loss with decreased muscle mass. Decision-making concerns, irritability, and dry skin are three of many common complaints.
Anorexia nervosa will often cause a secondary amenorrhea ; treatment of anorexia nervosa should restore ovulation.