Question
1
On physical examination of a 16 year old female patient, you notice partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of:
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Self-induced vomiting and she likely has bulimia nervosa
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A genetic disorder and her siblings should also be tested
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Self-mutilation and correlates with anxiety
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A connective tissue disorder and she should be referred to dermatology
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