MaxDecimus13
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On the bulimia question. If these are the scars said to be bulimia signs, I would disagree based on the pictures and descriptions of "Russell's sign" I've found. They describe wounds to the lower knuckles not to the fingers, and look like this,
View attachment 598686
I would argue that without other evidence there are also multiple other reasons for a couple of cuts on her fingers like this.
The top one, reminds me of an infection I can get just below the nail.