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Eating Disorders Jamie is a student nurse and a single mother, and is working part time to help defray the expenses of her college education. At the beginning of the fall semester, Jamie had a physical examination. She is 4 feet 10 inches tall and weighs 150 pounds. She loves to cook culturally different foods and spends her weekends cooking for her family, Jamie’s mother visits for the Christmas holidays. As Jamie has been wearing several layers of clothes that appear too large. Jamie’s mother takes her on a shopping trip to the mall to buy Jamie a new wardrobe. Jamie’s mother notices that her daughter has lost several pounds during the fall semester, Jamie has a medium frame and very little fat without much muscle. Her mother is worried and asks her daughter about the apparent weight loss. Jamie denies that she appears thinner than usual. Jamie’s husband tells Jamie’s mother that Jamie has been cating small portions of food for the last 4 months. Jamie says that she eats while she is preparing meals and that she is not hungry by the time she sits down at the table. Jamie is seen by her primary care physician at the insistence of her mother. The nurse weighs Jamie and notes that her weight has decreased from 140 pounds to 95 pounds since her physical examination in the fall. Her blood pressure is 95/70 mm Hg. When asked, Jamie does report that she experiences dizziness and chronic constipation. Her last menstrual period was 3 months ago and only lasted 1 day, A. What medical diagnosis is most consistent with the above medical history and symptoms? What would be the contrasting presenting history and symptoms of bulimia nervosa?
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