Question 24 (part 2) · LEK · Bulimia nervosa

A 19-year-old female student presents to the doctor to have lab tests performed as she has been purging a lot over the last semester. The patient looks well-developed and well-nourished. On physical examination a slight enlargement of the parotid salivary glands is noticed. Which of these tests should be performed in this case?

  1. A. fasting blood glucose.
  2. B. serum amylase levels.
  3. C. serum electrolyte levels.
  4. D. serum liver enzyme levels.
  5. E. serum TSH levels.
Hint

Recurrent purging with normal weight and enlarged parotids — which laboratory disturbance is the most dangerous consequence?

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