Approach to feeding and eating disorders Quiz: Ace Your Exams
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A 20-year-old woman comes to the family medicine clinic for her annual physical. The patient reports that she is doing well besides feeling bloated. She participated in a weekly work brunch before her appointment and feels guilty about the amount of food she ate compared to her peers. This has happened at other work-related gatherings for the last several years, as she finds it difficult to control her rapid excessive eating during these events and often leaves feeling uncomfortably full and guilty about her behavior. Despite her discomfort, the patient has not tried to remove food from her body. She says she has a wide variety of foods in her diet including vegetables, fruit, dairy, fats, carbohydrates, and protein. The patient was diagnosed with major depressive disorder three years ago and is not currently taking medication or attending therapy. Temperature is 37°C (98.6°F), pulse is 60/min, respirations are16/minute, blood pressure is 110/75mmHg. Weight is 158 lb (71.7 kg), five pounds higher than at the last visit, and body mass index (BMI) is 30.5 kg/m2. The patient makes minimal eye contact during the interview and examination. Her mood is dysphoric. Cardiopulmonary and abdominal exams are within normal limits. Which of the following is the most likely diagnosis?
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