[Solved]: A 28-year-old diabetic woman with a body mass index…

A 28-year-old diabetic woman with a body mass index of 28 presents to her primary care physician for her annual physical. Her glycohemoglobin HbA1C level is 11.8%. She reports she has been trying to lose weight by skipping her insulin. She feels she has not been successful in her weight loss and is a failure. She has tried strict dieting for the past three months but then describes overeating high-calorie snacks in the middle of the night. She also reports she forces herself to vomit after eating. You suspect bulimia nervosa. What might you expect to find on physical exam?