A 27-year-old woman presented with fatigue and a 4-day history of painful sore in her mouth. The patient reported binge eating and self-induced vomiting several times daily. Examination A deep ulcer at the posterior palate, severe tooth erosion with lingual decay and swollen parotic glands were observed. Laboratory studies indicate serum potassium level of 2.6 mmol/ liter and a bicarbonate level of 34 mmol/ liter.
What is the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
