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Previous Volume 349:875-881 August 28, 2003 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 20-year-old woman presents with fatigue; laboratory tests reveal a serum potassium level of 2.3 mmol per liter and a serum bicarbonate level of 36 mmol per liter. She is 163 cm (64 in.) tall and weighs 54 kg (119 lb). The findings on physical examination are normal. On questioning, she admits to binge eating and vomiting as frequently as five times . . . [Full Text of this Article]

The Clinical Problem

Medical Complications

            Oral Complications

            Gastrointestinal Complications

            Electrolyte Complications

            Endocrine Complications

            Other Complications

Strategies and Evidence

Treatment of Medical Complications

            Hypokalemia

Psychiatric Treatment

            Psychotherapy

            Pharmacotherapy

Areas of Uncertainty

Guidelines

Conclusions

Source Information

From Internal Medicine and Community Health Services, Denver Health, and the University of Colorado Health Sciences Center — both in Denver.

Address reprint requests to Dr. Mehler at Denver Health, 660 Bannock St., MC1914, Denver, CO 80204, or at pmehler@dhha.org.

This article has been cited by other articles:

• Weinstein, J. J., Mehler, P. S. (2003). Bulimia Nervosa. NEJM 349: 2363-2364 [Full Text]