<prompt> Not true of bulimia nervosa:AmenorrhoeaBinge eatingPurgation and vomitingNormal body contour maintained  <response>: Ans: a Amenorrhoea Ref: Ahuja, 6th ed, 157; Kaplan Sadock, 8th ed, p. 2012Amenorrhoea is not a feature of bulimia nervosa; it is seen in anorexia nervosaFluoxetine is an anti-depressant that has been approved for use in bulimia nervosaCharacteristics of anorexia nervosa and Bulimia nervosaClinical CharacteristicsAnorexiaNervosaBulimia NervosaOnsetM id-adolescenceLate adolescenceearly adulthoodFemalermale10:110:1Lifetime prevalence in women11-3W eightM arkedly decreasedUsually normalMenstruationAbsentUsually normalBinge eating25-50Required for diagnosisM ortality5 per decadeLowPhysical and Laboratory Findings SkinextremitiesLanugo Acrocyanosis Edema CardiovascularBradycardia Hypotension GastrointestinalSalivary gland enlargementSalivary gland enlargement Slow gastric emptyingDental erosion Constipation Elevated liver enzymes HematopoieticNormochromic, normocyctic anemia Leukopenia FluidElectrolyteIncreased BUN, creatinineHypokalemia HypokalemiaHypochloremia AlkalosisEndocrineHypoglycemia EndocrineHypoglycemia Low estrogen or testosterone Low LH and FSH Low-normal thyroxine Normal TSH Increased cortisolBoneOsteopenia 