Phyllis and Her Husband Were Regulars at Annabelle's Restaurant

Phyllis and her husband were regulars at Annabelle's Restaurant. Every Saturday night, they arrived promptly at 7:00 PM to begin Phyllis's first dinner meal of the evening. While she ordered a complete dinner featuring prime rib, baked potato, vegetables and a house salad, her husband nursed a cup of coffee. Following dinner, the wait staff cleared the table and replaced the silverware before the couple joining Phyllis and her husband for an 8:30 PM dinner arrived. Phyllis ordered a meal identical to the one she had eaten earlier and this dinner proceeded as if this were her first evening meal. Following the second dinner, she routinely went to the ladies' room for approximately one half hour. Upon her return, the couples left the restaurant. Despite the large quantity of food she consumed every Saturday evening, Phyllis was rail thin, weighing approximately 100 lbs. at a height of 5'10". Several wait staff believed that this pattern was repeated at least one other time each week at a neighboring restaurant.
On the basis of the information presented, what diagnosis would you expect would be most likely to be given to Phyllis, and what other associated clinical features might you expect to find in this case?

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Phyllis is most likely suffering from an...

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