Taber's Cyclopedic Medical Dictionary, 21st Edition

bulimia nervosa

bulimia nervosa

(also refer to anorexia nervosa)

impaired Dentition may be related to dietary habits, poor oral hygiene, chronic vomiting, possibly evidenced by erosion of tooth enamel, multiple caries, abraded teeth.

impaired Oral Mucous Membrane may be related to malnutrition or vitamin deficiency; poor oral hygiene; chronic vomiting, possibly evidenced by sore, inflamed buccal mucosa; swollen salivary glands; ulcerations of mucosa; reports of constant sore mouth/throat.

risk for deficient Fluid Volume: risk factors may include consistent self-induced vomiting, chronic/excessive laxative/diuretic use, esophageal erosion or tear (Mallory-Weiss syndrome).

deficient Knowledge [Learning Need] regarding condition, prognosis, complication, treatment may be related to lack of exposure to/unfamiliarity with information about condition, learned maladaptive coping skills, possibly evidenced by verbalization of misconception of relationship of current situation and behaviors, distortion of body image, binging and purging behaviors, verbalized need for information/desire to change behaviors.

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