21. Pickwickian Syndrome - Wikipedia, The Free Encyclopedia pickwickian syndrome http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. Pickwickian Syndrome - Definition From Biology-Online.org Definition and other additional information on pickwickian syndrome from BiologyOnline.org dictionary. http://www.biology-online.org/dictionary/pickwickian_syndrome

Forum Tutorials Dictionary Directory ... P pickwickian syndrome pickwickian syndrome (Science: syndrome) The combination of obesity somnolence hypoventilation (underbreathing), and plethoric red face named after the fat and red-faced boy in a state of somnolency in charles dickens' novel the pickwick papers . (the same boy is thought by some to have had prader-willi syndrome Search the dictionary About Us Contact Us Link to Us Chemistry ... Equations

23. Pickwickian Syndrome -- Facts, Info, And Encyclopedia Article The pickwickian syndrome, also known as obesity hypoventilation syndrome, So, in summary, pickwickian syndrome refers to patients who are (Click link http://www.absoluteastronomy.com/encyclopedia/P/Pi/Pickwickian_syndrome.htm

Pickwickian syndrome The Pickwickian syndrome , also known as obesity hypoventilation syndrome , is the combination of severe (More than average fatness) obesity and (Click link for more info and facts about hypoventilation) hypoventilation . Although it is an (A name derived from the name of person (real or imaginary) as the name of Alexandria is derived from the name of its founder: Alexander the Great) eponym , it is not named after the doctor who first described it (as commonly happens) but after a literary character by (English writer whose novels depicted and criticized social injustice (1812-1870)) Charles Dickens Literary origin In (Click link for more info and facts about The Posthumous Papers of the Pickwick Club) The Posthumous Papers of the Pickwick Club , originally published in 1837 by (English writer whose novels depicted and criticized social injustice (1812-1870)) Charles Dickens , there was an extremely obese boy named Joe who could not help falling asleep during the day. A most violent and startling knocking was heard at the door; it was not an ordinary double knock, but a constant and uninterrupted succession of the loudest single raps, as if the knocker were endowed with the perpetual motion, or the person outside had forgotten to leave off. . . The object that presented itself to the eyes of the astonished clerk, was a boy - a wonderfully fat boy - habited as a serving lad, standing upright on the mat, with his eyes closed as if in sleep. He had never seen such a fat boy, in or out of a travelling caravan; and this, coupled with the calmness and repose of his appearance, so very different from what was reasonably to have been expected in the inflicter of such knock, smote him with wonder.

24. Pickwickian Syndrome - Wikipedia, The Free Encyclopedia The pickwickian syndrome, also known as obesity hypoventilation syndrome, is the combination of severe obesity, suffering from obstructive sleep apnea http://en.wikipedia.org/wiki/Pickwickian_syndrome

You did it! Over US$240,000 was donated in the 21 day fund drive. Thank you for your generosity! You are still welcome to make a donation or purchase Wikimedia merchandise Pickwickian syndrome From Wikipedia, the free encyclopedia. The Pickwickian syndrome , also known as obesity hypoventilation syndrome , is the combination of severe obesity , suffering from obstructive sleep apnea causing hypoxia and hypercapnea resulting in marked daytime somnolence . Although it is an eponym , it is not named after the doctor who first described it (as commonly happens) but after a literary character by Charles Dickens edit Literary origin In The Posthumous Papers of the Pickwick Club , originally published in by Charles Dickens , there was an extremely obese boy named Joe who could not help falling asleep during the day. edit The 1956 report The name Pickwickian came up after 119 years, when in 1956 Dr. C.S. Burwell and colleagues published a medical case report titled "Extreme Obesity Associated With Alveolar Hypoventilation a Pickwickian Syndrome." After quoting Dickens's description of the fat boy the authors went on to describe their patient, a 51-year-old business executive who stood 5 feet 5 inches and weighed over 260 pounds (118 kg): (He) entered the hospital because of obesity, fatigue and somnolence...The patient was accustomed to eating well but did not gain weight progressively until about one year before admission...As the patient gained weight his symptoms appeared and became worse..he had often fallen asleep while carrying on his daily routine...on several occasions he suffered brief episodes of syncope (fainting) Persistent edema of the ankles developed... Finally an experience which indicated the severity of his disability led him to seek hospital care. The patient was accustomed to playing poker once a week and on this crucial occasion he was dealt a hand of three aces and two kings. According to Hoyle this hand is called a "full house."

25. Pickwickian Syndrome Complete online version of The Encyclopaedia of Medical Imaging including text and images from The Encyclopaedia of Medical Imaging s eight book volumes http://www.amershamhealth.com/medcyclopaedia/medical/Volume VII/PICKWICKIAN SYND

financial services our commitment our company Search Medcyclopaedia for: Search marked text (mark text before you click) Browse entry words starting with: A B C D ... amershamhealth.com Pickwickian syndrome, somnolence, with daytime fatigue and marked obesity, which can lead to cardiorespiratory insufficiency, decreased ventilation and, ultimately, to elevation of pulmonary pressures and secondary polycythaemia. Radiologically, the obesity is evident and, when cardiac compromise sets in, cardiomegaly. HC The Encyclopaedia of Medical Imaging Volume VII Corporate Products Financial Services Our Commitment ... Terms of Conditions

26. Pickwickian Syndrome Complete online version of The Encyclopaedia of Medical Imaging including text and images from The Encyclopaedia of Medical Imaging s eight book volumes http://www.amershamhealth.com/medcyclopaedia/medical/Volume V 2/PICKWICKIAN SYND

financial services our commitment our company Search Medcyclopaedia for: Search marked text (mark text before you click) Browse entry words starting with: A B C D ... amershamhealth.com Pickwickian syndrome, (from the description of the fat boy in Dickens' "Pickwick Papers") combination of obesity, somnolence, plethora and oedema. This association of severe obesity with alveolar hypoventilation may cause pulmonary arterial hypertension CBH The Encyclopaedia of Medical Imaging Volume V 2 Corporate Products Financial Services Our Commitment ... Terms of Conditions

27. Pickwickian Syndrome - Definition Of Pickwickian Syndrome In The Medical Diction Definition of pickwickian syndrome in the Medical Dictionary and Thesaurus. pickwickian syndrome explanation. Information about pickwickian syndrome in Free http://medical-dictionary.thefreedictionary.com/pickwickian syndrome

Domain='thefreedictionary.com' word='pickwickian syndrome' Your help is needed: American Red Cross The Salvation Army join mailing list webmaster tools Word (phrase): Word Starts with Ends with Definition subscription: Dictionary/ thesaurus Computing dictionary Medical dictionary Legal dictionary Financial dictionary Acronyms Columbia encyclopedia Wikipedia encyclopedia Hutchinson encyclopedia pickwickian syndrome Also found in: Wikipedia 0.02 sec. Page tools Printer friendly Cite / link Email Feedback pick·wick·i·an syndrome (p k-w k n) n. A syndrome characterized by extreme obesity, hypoventilation, and general debility. Mentioned in No references found Medical browser Full browser pia-arachnoid Piaget pian pica ... Pick's disease pickwickian syndrome pico- picogram picometer Picornaviridae ... Pickwickian pickwickian syndrome Pickworth, Rutland picky PICL Picle ... Picnic at Hanging Rock Word (phrase): Word Starts with Ends with Definition Free Tools: For surfers: Browser extension Word of the Day NEW! Help For webmasters: Free content NEW!

28. ► Obesity Hypoventilation Syndrome (OHS) Obesity hypoventilation syndrome (OHS) is a condition related to obstructive sleep apnea in which a very obese Alternative Names. pickwickian syndrome http://www.umm.edu/ency/article/000085.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Encyclopedia (English) Toggle English Spanish Obesity hypoventilation syndrome (OHS) Overview Symptoms Treatment Prevention Definition: Obesity hypoventilation syndrome (OHS) is a condition related to obstructive sleep apnea in which a very obese person does not breathe a sufficient amount of oxygen during sleep or while awake. Alternative Names: Pickwickian syndrome Causes, incidence, and risk factors: The cause of OHS in unknown, but it is likely to involve a combination of a disorder of the brain's control over breathing and the effects of massive obesity on the chest wall. With the excess weight of massive obesity, the muscles of the chest wall can have difficulty expanding the thorax enough to exchange air efficiently. This results in a decreased ability to oxygenate the blood and retention of carbon dioxide (see respiratory acidosis ). Affected individuals suffer from chronic fatigue. This is from sleep loss, poor sleep quality, as well as chronic hypoxia (decreased blood oxygen).

29. Arch Dermatol -- Pickwickian Syndrome And Vanishing Finger Pebbles, April 2001, The FP rapidly regressed with body weight loss, suggesting a link with obesity. However, the patient also had pickwickian syndrome with severe hypoxemia. http://archderm.ama-assn.org/cgi/content/extract/137/4/508

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress Vol. 137 No. 4, April 2001 Featured Link E-mail Alerts Correspondence Article Options Full text PDF Send to a Friend Readers Reply Submit a reply Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Granel B Weiller PJ Contact me when this article is cited Pickwickian Syndrome and Vanishing Finger Pebbles Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. Finger pebbles (FP) is a skin thickness occurring most frequently on the dorsum of the fingers and characterized by micropapules or "pebbles." This condition usually occurs in patients with diabetes mellitus. Here we report the first case of pickwickian syndrome with vanishing FP on the dorsal side of the hands

30. Pickwickian Syndrome --  Encyclopædia Britannica pickwickian syndrome a complex of respiratory and circulatory symptoms associated with some cases of extreme obesity. The name originates from the fat man http://www.britannica.com/eb/article?tocId=9059933

31. Alexa - Sites In: Pickwickian Syndrome Alexa web search a new kind of search engine. With traffic rankings, user reviews and other information about sites, Alexa is a web site discovery tool. http://www.alexa.com/browse/general/?&CategoryID=291130&mode=general&Start=1&Sor

32. Alexa - Browse: Sleep Apnea Signs and symptoms of sleep apnea and pickwickian syndrome; effects on the heart and Free pickwickian syndrome info from experts at Biotech Dictionary! http://www.alexa.com/browse?&CategoryID=7662

33. Cardiorespiratory Syndrome Of Obesity (pickwickian Syndrome) In Children -- Cayl Cardiorespiratory syndrome of obesity (pickwickian syndrome) in children. GG Cayler, J Mays and HD, Riley Jr. 800 NE 13th Street, Oklahoma City 4, Oklahoma. http://pediatrics.aappublications.org/cgi/content/abstract/27/2/237

QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article P Rs: Submit a response Alert me when this article is cited Alert me when P ... Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to My File Cabinet ... Download to citation manager PubMed Articles by Cayler, G. G. Articles by Riley, H., Jr. Pediatrics, Feb 1961, 237-245, Vol 27, No. 2 Cardiorespiratory syndrome of obesity (pickwickian syndrome) in children GG Cayler, J Mays and HD, Riley Jr. 800 N.E. 13th Street, Oklahoma City 4, Oklahoma. This report describes two young boys with cardiorespiratory syndrome of obesity (Pickwickian syndrome), a rare complication of exogenons obesity. The major pathologic characteristics of the syndrome are obesity, hypoxemia and somnolence. The primary physiologic derangement is alveolar hypoventilation with a decrease in lung volume, tidal volume and expiratory reserve volume. Kerr and Lagen first described the clinical picture in

34. Sleep Apnea In A Child With The Pickwickian Syndrome -- Simpser Et Al. 60 (3): 2 Sleep apnea in a child with the pickwickian syndrome. MD Simpser, DJ Strieder, ME Wohl, A Rosenthal and S Rockenmacher. A 3year-old girl with a history of http://pediatrics.aappublications.org/cgi/content/abstract/60/3/290

QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article P Rs: Submit a response Alert me when this article is cited Alert me when P ... Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Simpser, M. D. Articles by Rockenmacher, S. Sleep apnea in a child with the pickwickian syndrome MD Simpser, DJ Strieder, ME Wohl, A Rosenthal and S Rockenmacher A 3-year-old girl with a history of excessive weight gain from birth presented with obesity, somnolence, and cyanosis, characteristic of the Pickwickian syndrome. Obesity was familial and exogenous without endocrine or neurologic anomaly. Respiratory center sensitivity to carbon dioxide was normal. Excessive somnolence was due to the obesity, which during sleep caused airway obstruction, apnea, and awakening, finally resulting in sleep deprivation. The sleep apneas and the daytime somnolence disappeared with

35. Pickwickian Syndrome, Obesity, Daytime Sleepiness, PCO2, Hypoventilation, Intens visit I diagnosed Gloria s problem as typical of pickwickian syndrome. Like all syndromes, Pickwickian is not a specific disease as much as a collection http://www.lakesidepress.com/pulmonary/books/icu/pickwick.html

"We Can't Kill Your Mother" and Other Stories of Intensive Care by Lawrence Martin, M.D. Table of Contents 12. Pickwickian NOTE: "We Can't Kill Your Mother" and Other Stories of Intensive Care can be downloaded in its entirety as an e-book from 1st Books Library ($4.95). The book can also be ordered in trade paperback format for $13.50. For purchasing the e-book or print versions, please go to 1st Books Library and enter part of the book's title or the author in their search engine. Below are the first few paragraphs of PICKWICKIAN. I knew Gloria Fallows for about two years before she was admitted to Intensive Care. I first saw her as an outpatient in 1992 when she was 63. Even then she was enormous 275 pounds, five feet two inches and had trouble breathing. Her chief complaint was "shortness of my breath." "Oh Dr. Martin!" she exclaimed back then. "I can't walk from here to there without struggling." She pointed to a wall of my office about ten feet away. "How long Mrs. Fallows? How long's it been this bad?" "Only the past few months. But it seems to get worse each day."

36. Section F A Bit Of Medical History Table Of Contents Disclaimer While you don t need a sleep study to diagnose pickwickian syndrome, Like pickwickian syndrome, Ondine s curse does not refer to a specific disease but http://www.lakesidepress.com/pulmonary/books/house/history-f.html

Section F A Bit of Medical History Table of Contents The Story Of The Medical Student Who Deserved (But Never Got) The Nobel Prize [On ward rounds in the ICU] "Nineteen twenty-two," I said. "Insulin therapy was introduced into clinical medicine in nineteen twenty-two." "Oh well," said the house officer Bill Sedgwick, suggesting by his tone that it really didn't matter whether it was 1922 or 1955. "The first patient to receive insulin was a thirteen-year-old diabetic boy named Leonard Thompson. In what city?" I asked. If the house staff didn't know the date they also would not know the location of this medical milestone, but I was having fun and they didn't seem to mind. "Boston," guessed Dr. Sedgwick. "No." "New York," said Dr. Miles. "London?" said one of the nurses, in a final desperate stab. "No. Everyone give up?" All did. "Toronto. The Toronto General Hospital. January eleventh, nineteen twenty-two. And who received a Nobel Prize for the discovery of insulin?" "Banting," said Dr. Sedgwick, who was still out to win the trivia prize. "You're half right," I said. "Banting who?"

37. Entrez PubMed Ten patients with the pickwickian syndrome, characterized by obesity, hypoxemia, hypercapnia, polycythemia, and cor pulmonale, underwent longterm treatment http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7

38. Entrez PubMed pickwickian syndrome/physiopathology pickwickian syndrome/therapy PositivePressure Respiration Respiratory Function Tests Sleep/physiology http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3

39. MDAdvice.com - Ask An Expert Q Could you please tell me what the pickwickian syndrome is? A The pickwickian syndrome may be defined as hypoventilation due to obesity. http://www.mdadvice.com/iask.htm

HOME HEALTH LIBRARY AREAS ... JOIN FREE FIND IT HEALTH CENTER Health Library Drug Information Informative Material ... ABOUT US Have a health question? Get reliable answers here. Featured Question and Answer Q: Could you please tell me what the Pickwickian Syndrome is? A: Click Here to View the Questions and Answers Archive Search Previous Questions and Answers Click Here to ask a MDAdvice.com doctor your medical question. More Questions and Answers... Home Help Feedback ... Terms of Use

40. MDAdvice.com - The Reliable Health Information Source FEATURE D Q A pickwickian syndrome What is pickwickian syndrome? Read our Q A to find out. CURRENT HEALTH TIP. It s safe to say that at some point most http://www.mdadvice.com/

HOME HEALTH LIBRARY AREAS ... ABOUT US CURRENT FEATURES Industry Lags Drug-Development Demand Scientific advances and regulatory changes in recent years have created an environment of innovation in the pharmaceutical and biotech industries that is "nothing short of remarkable." However, the pace of innovation still can't keep up with the increasingly demanding business of drug discovery and development, a recent report says. click here for details H E A D L I N E S Nurturing Your Children's Self-Esteem Helping shape our children's self-esteem takes commitment and knowledge of effective parenting techniques. First, parents need to have a clear understanding of self-esteem, often referred to as the process of setting a value on yourself, appreciating your worth, knowing you are a valued person, and having a quiet sense of self-respect. This article examines common signs of high and low self-esteem in children, and explores ways parents can help their children develop good self-esteem. U P D A T E S Stronger Marijuania Is Major Health Risk Claims that marijuania is harmless have been undermined by a new report which warns that the drug is becoming more powerful and can lead to severe long-term health damage. The study, which will give weight to the government's refusal to legalize the drug, says the drug can provoke severe anxiety and mental illness, seriously impairs driving skills, is five times more damaging to the lungs than cigarettes, weakens the immune system and may lead to rare throat cancers or fatal heart attacks...

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