For a female with amenorrhea and extreme weight loss, what would a likely physical exam finding include?

In the context of a female presenting with amenorrhea and extreme weight loss, mild dental erosion is a significant physical exam finding that may indicate an underlying issue such as eating disorders (e.g., bulimia nervosa) or malnutrition. Eating disorders can lead to severe fluctuations in weight and may also affect oral health due to frequent vomiting or poor dietary intake, which can result in dental erosion.

Amenorrhea, particularly when associated with significant weight loss, can also impact the body's endocrine system, leading to hormonal imbalances that might contribute to oral health problems, including those related to dietary habits. Therefore, in this specific scenario, mild dental erosion aligns with the broader clinical picture of malnutrition or disordered eating behavior.

Other potential findings related to this clinical picture, like fatigue and lethargy, heavy body hair growth, and intolerance of cold temperatures, can be associated with various conditions but are not as directly indicative of the combination of extreme weight loss and amenorrhea as mild dental erosion. The presence of dental erosion emphasizes the potential impact of severe dietary restriction or purging behaviors on a patient's overall health.