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National Project Marking Schedule for Written Submission Element of Summative Assessment. General Practice Vocational Training.A Clinical Case Study: ObesityGP Registrar. YOR/800/038494Introduction.The case study I have chosen to work on for my project is quite unique. This young girl suffers from obesity, an increasing burden to the Nation's health and budget. I was in the unusual position of being the House Officer when she was admitted for specialist obesity surgery. When I started in my General Practice Registrar job, I found out she was a patient at our practice. Having been involved in her care in hospital, I can now explore her care in the community and how a knowledge of obesity and its treatment is important for GPs.Case Study.Background SM is a 28 year old patient at the practice where I undertook my first GPR attachment. She has suffered from obesity problems since childhood. Her obesity is thought to be secondary to pituitary/hypothalamic dysfunction.She was first shunted for hydrocephalus in infancy. She has also had craniotomy and drainage of arachnoid cyst in 1994. She has suffered several episodes of headache, for which she was thoroughly investigated. However, no shunt dysfunction was proven. This complex problem was managed by neurosurgeon and endocrinologists at one of the Teaching Hospitals in the region. As a result of her endocrine dysfunction she was, for a time treated with hormone replacement therapy and growth hormo

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