ABSTRACT
Marcus is a member of his high school wrestling team. Although at first this seem a very serious situation, over time Marcus became concerned that he might have to move up to the next weight class where he thought he might be less competitive. Marcus admitted that he had been inducing vomiting to control his weight. Bulimia nervosa was confirmed but Marcus refused to see the psychologist as recommended, saying instead that he would stop his self-induced vomiting. Marcus did stop his self-induced vomiting but then over the summer, he gained some weight. Gramma also complains of joint stiffness and, reluctantly, she admits to using large amounts of aspirin to control her joint pain. After you have considered and completed your family tree, think about the following case studies. The radiologist at the hospital noted that Marcus’s bone density was low for his age and recommended a consultation with his family physician.
