Physical assessment of a patient diagnosed with bulimia nervosa often reveals what data?

A. Peripheral edema: Edema can occur in cases of severe malnutrition or fluid imbalance, but it is not a typical or hallmark finding in bulimia nervosa. It is more associated with refeeding syndrome or severe hypoalbuminemia in other eating disorders. B. Thin, brittle hair: Hair changes such as brittleness or thinning are more common in anorexia nervosa due to prolonged nutritional deficiencies. While bulimia may cause some nutritional effects, this is not the most characteristic physical finding. C. Amenorrhea: Menstrual irregularities, including amenorrhea, are more commonly linked with anorexia nervosa due to low body fat and hormonal suppression. Bulimia patients often maintain a normal or near-normal body weight, making amenorrhea less consistent. D. Prominent parotid glands: Repeated self-induced vomiting leads to parotid gland enlargement from chronic stimulation and irritation. This is a classic and frequent physical finding in patients with bulimia nervosa, along with dental enamel erosion.