Wednesday 31 August 2016

FULL CATASTROPHE S

 am seeing teenage girls with the following collection of problems;
1) Morbid obesity
2) Horrible skin with facial greasiness, acne, hisrsuitism, skin tags and acanthosis nigricans
3) Excessive daytime tiredness and poor school performance
4) Depression
5) Hypertension
6) Dyslipidemia
7) Diabetes mellitus
8) Irreguar menses.
Put another way these girls have  MS+T2DM + PCOD+ D +OSAS . call this  the  "full catastrophe"

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