41. Dr. Koop - Obesity Hypoventilation Syndrome (OHS) pickwickian syndrome. Causes, incidence, and risk factors. The cause of OHS in unknown, but it likely involves a combination of a disorder in the brain s http://www.drkoop.com/ency/93/000085.html

Home Health Reference Obesity hypoventilation syndrome (OHS) Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Obesity hypoventilation syndrome (OHS) Injury Disease Nutrition Poison ... Prevention Obesity hypoventilation syndrome (OHS) Definition: Obesity hypoventilation syndrome (OHS) is a condition related to (but can occur separately from) obstructive sleep apnea . In OHS, 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 likely involves a combination of a disorder in the brain's control over breathing and the effects of obesity on the chest wall. With the excess weight of massive obesity, the muscles of the chest wall can have difficulty expanding the chest enough to exchange air efficiently. This results in a decreased ability to oxygenate the blood, and the retention of carbon dioxide (see respiratory acidosis ). Affected individuals suffer from chronic fatigue due to sleep loss, poor sleep quality, and chronic

42. Pickwickian Syndrome - Medicine Terms Health and medicine terms and glossary detailed Information on pickwickian syndrome. http://www.encyclopedia-wiki.org/encyclopedias/medicine/Pickwickian-Syndrome.htm

Pickwickian Syndrome Medicine and health Home Encyclopedias Lexika Articles ... Medizin und Gesundheit Medicine terms: Pickwickian Syndrome Pickwickian syndrome is a disorder that was named after Joe, the fat, red faced boy in Charles Dickens' The Pickwick Papers. This syndrome is a combination of obstructive apnea in moderately to severely obese people, most of whom attempt to sleep face up. Extreme obesity along with shallow breathing, sleep apnea, excessive sleepiness, and heart failure. Medicine terms and glossary navigation: Next Topics: Pigeon-breeders-Disease PIGEON-TOES-TOEING-IN Pigment Pigmentation ... Plague Back to Medicine Index: Medicine terms Home Web the encyclopedia-wiki.org http://www.encyclopedia-wiki.org

43. Pickwickian Syndrome » Medical Diagnosis And Advice Medical Diagnosis Advice » P » pickwickian syndrome 278.8 pickwickian syndrome (see images) Want to discuss this term? Visit our forum or our chat http://www.htmdesigner.com/diag/P/medical-diagnosis-terms-Pickwickian_syndrome.p

Medical Diagnosis and Advice Search A B ... Z Pickwickian syndrome Pickwickian syndrome OVERVIEW: Extreme obesity with polycythemia, somnolence, hypoventilation, arterial unsaturation and hypercapnia, and pulmonary hypertension. Usual course - chronic; intermittent. CAUSES: TREATMENT MISCELLANEOUS SYNONYMS: ICD-9-CM: 278.8 pickwickian syndrome see images Want to discuss this term? Visit our forum or our chat room SEE ALSO (Enter the keywords below into our search box or click on the link): n/a Web medfamily.org Total Medical Terms: Rate this site! 1 - Worst 10 - Best Joint Partnership with Med School Chat part of the School Chat Network By viewing this website, you agree to our We're still here, you rockin' with the best! Best View with 1024x768 screen and IE 5.0 Although the HTM Designer materials have been developed by physicians and health care provider it is designed for educational purposes only. The site is not engaged in rendering medical advice. The information provided should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. It is solely for information and second opinion purposes. If you have or suspect you may have a health problem, you should consult your health care provider and use the information here as a cross references. The authors, editors, producers, sponsors, and contributors shall have no liability, obligation or responsibility to any person or entity for any loss, damage, or adverse consequence alleged to have happened directly or indirectly as a consequence of this material.

44. PICKWICKIAN SYNDROME. pickwickian syndrome. A technical analysis of the causes, etiology and treatment of pickwickian syndrome, a disease which afflicts the obese and which is http://www.academictermpapers.com/abstracts/52000/52045.html

SUBJECT INDEX: ANTHROPOLOGY ARCHITECTURE ART BLACK STUDIES ... AREA STUDIES 30,000 Term Papers To Choose From.. Find Academic, Research, College, and University Term Papers Search Our Catalog For A Term Paper, Book Report, Case Study or Essay. We Provide Custom Research, Term Paper Writing, Pre-written Reports and Editing... "$name" TERM PAPERS Academic Term Papers Catalog PICKWICKIAN SYNDROME. 52045. PICKWICKIAN SYNDROME. A technical analysis of the causes, etiology and treatment of Pickwickian syndrome, a disease which afflicts the obese and which is characterized by breathlessness, somnolence and ultimate cardiorespiratory failure. 9p., 12f., 5b.

45. EMedicine - Obesity-Hypoventilation Syndrome And Pulmonary Consequences Of Obesi Synonyms and related keywords Pickwick syndrome, pickwickian syndrome, obstructive sleep apnea/hypoventilation, OSA/H http://www.emedicine.com/ped/topic1627.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Pediatrics Pulmonology Obesity-Hypoventilation Syndrome and Pulmonary Consequences of Obesity Last Updated: September 20, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: Pickwick syndrome, pickwickian syndrome, obstructive sleep apnea/hypoventilation, OSA/H AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Mary E Cataletto, MD , Associate Director, Division of Pediatric Pulmonology, Winthrop University Hospital; Associate Professor, Department of Clinical Pediatrics, State University of New York at Stony Brook Coauthor(s): Gila Hertz, PhD, ABSM , Director, Center for Insomnia and Sleep Disorders, Clinical Associate Professor of Psychiatry and Behavioral Sciences, State University of New York at Stony Brook Mary E Cataletto, MD, is a member of the following medical societies:

46. EMedicine - Apnea, Sleep : Article Excerpt By: Ralph Downey III, PhD The term pickwickian syndrome originated with the obese character Joe in Charles Dickens pickwickian syndrome should only be used to describe obesity http://www.emedicine.com/med/byname/apnea-sleep.htm

(advertisement) Excerpt from Apnea, Sleep Synonyms, Key Words, and Related Terms: obstructive sleep apnea, OSA, sleep apnea, apnea, sleep disorder, snoring, sleep-related disorder, sleep disordered breathing, SDB, central apnea, obstructive apnea, mixed apnea, hypopnea, upper airway resistance syndrome, UARS, nasal continuous positive airway pressure, nasal CPAP, CPAP, apnea index, AI respiratory disturbance index, RDI, apnea-hypopnea index, PSG, polysomnography, pickwickian syndrome Please click here to view the full topic text: Apnea, Sleep Background: Sleep apnea occurs during sleep when a cessation of airflow occurs for at least 10 seconds (usually 20-30 s but rarely >2 min). The apneas (absences of breath) are accompanied by snoring, sleep arousals, and hypoxia. The term sleep apnea describes 2 major sleep-related clinical problems: (1) obstructive sleep apnea (OSA) and (2) central sleep apnea. OSA is caused by upper airway (UA) obstruction at the level of the pharynx and is the most common form of sleep apnea. Central apnea is the result of impairment in respiratory control of breathing. Sleep apnea syndrome encompasses a spectrum of sleep-related breathing disorders ranging from simple snoring to severe sleep apnea with associated neurocognitive deficits, residual daytime sleepiness, pauses in breathing, and cardiovascular consequences such as hypertension and stroke. UA resistance syndrome is a condition within this spectrum that is intermediate in severity to these 2 extremes. Patients with UA resistance syndrome have clinical features closely related to OSA, but frank apneas are absent (see

47. Hypercapnia In The Obstructive Sleep Apnea Syndrome. A Reevaluation Of The "Pick Hypercapnia in the obstructive sleep apnea syndrome. A reevaluation of the pickwickian syndrome . DM Rapoport, SM Garay, H Epstein and RM Goldring http://www.chestjournal.org/cgi/content/abstract/89/5/627

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Order Full text via Infotrieve Submit a response Alert me when this article is cited Alert me when eLetters are posted ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles PubMed PubMed Citation Articles by Rapoport, D. M. Articles by Goldring, R. M. ARTICLES Hypercapnia in the obstructive sleep apnea syndrome. A reevaluation of the "Pickwickian syndrome" DM Rapoport, SM Garay, H Epstein and RM Goldring The mechanisms of hypercapnia in eight patients with the "Pickwickian" syndrome and obstructive sleep apnea (OSAS) were evaluated pretherapy and posttherapy (tracheostomy in seven patients and chronic nocturnal use of nasal CPAP in one). Four patients (correctors) became eucapnic within two weeks of therapy. Four others (noncorrectors) remained hypercapnic. Neither residual apneas, changes in pulmonary function, change in anatomic dead

48. The Obesity-Hypoventilation Syndrome Revisited -- Teichtahl 120 (2): 336 -- Ches Burwell et al2 coined the term pickwickian syndrome for these patients (1956) Extreme obesity with alveolar hypoventilation a pickwickian syndrome. http://www.chestjournal.org/cgi/content/full/120/2/336

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Full Text (PDF) Submit a response Alert me when this article is cited ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed ... Cited by other online articles Search for citing articles in: ISI Web of Science (5) PubMed PubMed Citation Articles by Teichtahl, H. Chest. American College of Chest Physicians The Obesity-Hypoventilation Syndrome Revisited Harry Teichtahl, MBBS (Hons), FCCP (Melbourne, Australia ). Dr. Teichtahl is Director, Department of Respiratory and Sleep Disorders Medicine, Western Hospital. Correspondence to: Harry Teichtahl, MBBS, FCCP, Western Hospital, Gordon St, Footscray, Victoria, Australia 3011; e-mail: The obesity-hypoventilation syndrome (OHS) was originally described in 1955 in subjects with obesity, chronic daytime hypercapnia and hypoxemia, polycythemia, hypersomnolence, and right ventricular failure.

49. Obesity InfantilismObesity; hypoventilation associated with extreme obesity; Launois-Cleret Syndrome; Overweight; pickwickian syndrome; Sexual Infantilism) http://www.icongrouponline.com/health/Obesity.html

ICON Health Publications Official Health Sourcebooks Search ICON Health Titles: The Official Patient's Sourcebook on OBESITY (Adiposis; Adiposity; Adiposogenital Dystrophy; Babinski-Froelich Syndrome; Dystrophia Adiposogenitalis; Frolich's Syndrome; Hypothalamic Infantilism-Obesity; hypoventilation associated with extreme obesity; Launois-Cleret Syndrome; Overweight; Pickwickian syndrome; Sexual Infantilism) Revised and Updated for the Internet Age P A P E R B A C K Paperback Book Shipped in 3 to 5 business days E B O O K Electronic File * E-Book version sent via e-mail in 2 business days Pages Price $34.95(USD) ISBN Published Synopsis A comprehensive manual for anyone interested in self-directed research on obesity. Fully referenced with ample Internet listings and glossary. Related Conditions/Synonyms Adiposis; Adiposity; Adiposogenital Dystrophy; Babinski-Froelich Syndrome; Dystrophia Adiposogenitalis; Frolich's Syndrome; Hypothalamic Infantilism-Obesity; hypoventilation associated with extreme obesity; Launois-Cleret Syndrome; Overweight; Pickwickian syndrome; Sexual Infantilism Description Table of Contents Introduction Overview Organization Scope Moving Forward PART I: THE ESSENTIALS Chapter 1. The Essentials on Obesity: Guidelines

50. Infantile Apnea Nocturnal upper airway occlusion; Obstructive Sleep Apnea; Ondine s curse; Pediatric Obstructive Sleep Apnea; pickwickian syndrome; Sleep Apnea Syndrome http://www.icongrouponline.com/health/Infantile_Apnea.html

ICON Health Publications Official Health Sourcebooks Search ICON Health Titles: The Official Parent's Sourcebook on INFANTILE APNEA (Bradycardia-tachycardia syndrome; Central Sleep Apnea; Infantile Sleep Apnea; Nocturnal upper airway occlusion; Obstructive Sleep Apnea; Ondine's curse; Pediatric Obstructive Sleep Apnea; Pickwickian Syndrome; Sleep Apnea Syndrome) Revised and Updated for the Internet Age P A P E R B A C K Paperback Book Paperback Book Order by phone: 800-843-2665 (within USA) 1-201-272-3651 (from outside USA) Paperback Book Shipped in 3 to 5 business days E B O O K Electronic File * E-Book version sent via e-mail in 2 business days Pages Price $24.95(USD) ISBN Published Synopsis A comprehensive manual for anyone interested in self-directed research on infantile apnea. Fully referenced with ample Internet listings and glossary. Related Conditions/Synonyms Bradycardia-tachycardia syndrome; Central Sleep Apnea; Infantile Sleep Apnea; Nocturnal upper airway occlusion; Obstructive Sleep Apnea; Ondine's curse; Pediatric Obstructive Sleep Apnea; Pickwickian Syndrome; Sleep Apnea Syndrome Description Table of Contents Introduction Overview Organization Scope Moving Forward PART I: THE ESSENTIALS Chapter 1. The Essentials on Infantile Apnea: Guidelines

51. Spotlight Health pickwickian syndrome This term was coined after a character in Charles Dickens The Pickwick Papers who was always falling asleep. http://www.spotlighthealth.com/nasp/glossary_popup.asp?term=205

52. Spotlight Health pickwickian syndrome This term was coined after a character in Charles Dickens The See pickwickian syndrome used in context Related Health Problems http://www.spotlighthealth.com/common/Glossary/glossary.asp?m=1

53. American Thoracic Society - Critical Care (CC) The underlying predisposition to the pickwickian syndrome may be from an The pickwickian syndrome and the obstructive sleep apnea syndrome may both have http://www.thoracic.org/criticalcare/gencases/answers/ccgen0999.asp

Assembly Sites Guidelines for Development of Official ATS Documents Guidelines for Joint Projects Web Editorial Board ... ATS Critical Care Website (Large source of educational materials pertaining to practice and research in critical care) CRITICAL CARE EDUCATIONAL RESOURCES: General Critical Care Cases September 1999 Michael Littner, M.D. Chief, Pulmonary, Critical Care and Sleep Medicine VA Greater Los Angeles Healthcare System Sepulveda Campus and the UCLA/San Fernando Valley Program Sepulveda, California Professor of Medicine, UCLA School of Medicine Janet Au, M.D. Co-Director, Medical Intensive Care Unit Los Angeles County-UCLA Olive View Medical Center and the UCLA/San Fernando Valley Program Sylmar, California Associate Professor of Medicine, UCLA School of Medicine Sleep-Disordered Breathing in the Intensive Care Unit ANSWERS d. The likely diagnoses are an exacerbation of COPD combined with nocturnal and daytime hypoventilation secondary to the Pickwickian syndrome or the sleep apnea/hypopnea syndrome. a. (see Discussion below)

54. ICSD: Obstructive Sleep Apnea Syndrome ICSD, 780.530. ICD-10, G47.3, (Sleep Apnea). E66.2, (pickwickian syndrome). DSM-IV, 780.59, (Breathing-Related Sleep Disorder) http://www.uni-marburg.de/sleep/enn/database/asdadefs/def1a8.htm

The International Classification of Sleep Disorders Obstructive Sleep Apnea Syndrome ICSD: ICD-10: (Sleep Apnea) (Pickwickian Syndrome) DSM-IV: (Breathing-Related Sleep Disorder) Obstructive sleep apnea syndrome is characterized by repetitive episodes of upper airway obstruction that occur during sleep, usually associated with a reduction in blood oxygen saturation. Prevalence: Obstructive sleep apnea syndrome is most common in middle aged, overweight males. Although an accurate figure is not available, a prevalence of 1-2% of the population is suspected. Reference Data Patient: Notes: Obstructive sleep apnea syndrome combined with PLM Keywords: sleep apnea, obstructive apnea, upper airway apnea, mixed apnea, hypersomnia sleep apnea syndrome, obesity hypoventilation syndrome, adenoidal hypertrophy, cor pulmonale syndrome, pickwickian syndrome.

55. A.Word.A.Day--AWADtalk (enthusiast) Thu Jun 13 200656 2002, , Re pickwickian syndrome. We are taught that pickwickian syndrome is another term for Obstructive Sleep Apnoea. http://www.wordsmith.org/board/showflat.pl?Cat=&Board=medicine&Number=72903&page

56. A.Word.A.Day--AWADtalk *Re pickwickian syndrome of troy, Thu Jun 13 162900 2002 . . . *Re pickwickian syndrome Keiva, Thu Jun 13 171359 2002 . http://www.wordsmith.org/board/postlist.pl?Cat=&Board=medicine&page=17&view=expa

57. Photo Quiz - July 1, 2003 - American Family Physician B. pickwickian syndrome. C. PraderWilli syndrome. D. Angelman syndrome. Discussion pickwickian syndrome describes the severe sleep apnea, hypercapnia, http://www.aafp.org/afp/20030701/photo.html

Advanced Search AAFP Home Page Journals Vol. 68/No. 1 (July 1, 2003) Photo Quiz Obesity and Daytime Sleepiness FIGURE 1. FIGURE 2. A 17-year-old mentally retarded, morbidly obese teenager had a long history of sleep apnea, with excessive daytime sleepiness and loud snoring. On physical examination, notable findings included a height of 141 cm (56.4 in, well below the 5th percentile for age) and weight of 170 kg (374 lb, far greater than the 95th percentile for age). Abnormal facial features included strabismus, narrow nose, thin upper lip, down-turned mouth, viscous saliva, and dental caries (Figure 1) . The patient habitually picked at her skin. Brilliant Green, an antiseptic dye, had been applied to multiple excoriations of the skin. Her skin and hair were lighter in color than those of other members of her family. Massive lymphedema of the lower extremities and small hands and feet were noted (Figure 2) Question Based on the patient's history and physical examination, which one of the following is the most likely diagnosis? A. Morbid obesity.

58. Obesity Hypoventilation Syndrome (OHS) Obesity hypoventilation syndrome (OHS) is a condition related to (but can occur separately from) obstructive Alternative Names. pickwickian syndrome http://www.ehendrick.org/healthy/000085.htm

Injury Disease Nutrition Poison ... Prevention Obesity hypoventilation syndrome (OHS) Definition Obesity hypoventilation syndrome (OHS) is a condition related to (but can occur separately from) obstructive sleep apnea . In OHS, a very obese person does not breathe a sufficient amount of oxygen during sleep or while awake. Alternative Names Pickwickian syndrome Causes The cause of OHS in unknown, but it likely involves a combination of a disorder in the brain's control over breathing and the effects of obesity on the chest wall. With the excess weight of massive obesity, the muscles of the chest wall can have difficulty expanding the chest enough to exchange air efficiently. This results in a decreased ability to oxygenate the blood, and the retention of carbon dioxide (see respiratory acidosis ). Affected individuals suffer from chronic fatigue due to sleep loss, poor sleep quality, and chronic hypoxia (decreased blood oxygen). Morbid (massive or excessive) obesity is the main risk factor. Review Date: 10/22/2003 Reviewed By: Allen J. Blaivas, D.O., Division of Pulmonary, Critical Care, and Sleep Medicine, University Hospital, Newark, NJ. Review provided by VeriMed Healthcare Network.

59. American Family Physician: Obesity And Daytime Sleepiness - Photo Quiz B. pickwickian syndrome. C. PraderWilli syndrome. pickwickian syndrome describes the severe sleep apnea, hypercapnia, and daytime somnolence that http://www.findarticles.com/p/articles/mi_m3225/is_1_68/ai_104620044

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles American Family Physician July 1, 2003 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Obesity in adolescence / Complications Sleep apnea syndromes / Complications Comorbidity / Care and treatment Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Obesity and daytime sleepiness - Photo Quiz American Family Physician July 1, 2003 by Daniel C. Baumgart Helga Gerl Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. A 17-year-old mentally retarded, morbidly obese girl had a long history of sleep apnea, with excessive daytime sleepiness and loud snoring. On physical examination, notable findings included a height of 141 cm (56.4 in, well below the 5th percentile for age) and weight of 170 kg (374 lb, far greater than the 95th percentile for age). Abnormal facial features included strabismus, narrow nose, thin upper lip, down-turned mouth, viscous saliva, and dental caries (Figure 1). The patient habitually picked at her skin. Brilliant Green, an antiseptic dye, had been applied to multiple excoriations of the skin. Her skin and hair were lighter in color than those of other members of her family. Massive lymphedema of the lower extremities and small hands and feet were noted (Figure 2).

60. CHEST: Death During Polysomnography Of A Patient With Cheyne-Stokes Respiration, occurring during polysomnography in patients suffering from pickwickian syndrome or CHF. associated with pickwickian syndrome in the present case. http://www.findarticles.com/p/articles/mi_m0984/is_5_126/ai_n7587122

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles CHEST Nov 2004 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Death during polysomnography of a patient with Cheyne-Stokes respiration, respiratory acidosis, and chronic heart failure CHEST Nov, 2004 by Philippe Bordier Stephane Garrigue Sylvain Reuter Pierre Bordachar ... Jacques Clementy Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. A patient with chronic heart failure and chronic respiratory failure (CRF) underwent ambulatory polysomnography at home. She was found dead on the morning after the recording. The tracings confirmed severe sleep apnea syndrome. After 8 h of incessant Cheyne-Stokes respiration during sleep, respiratory arrest occurred, followed 7 min later by asystole. This report illustrates a case of respiratory drive failure during sleep as the mode of death in a patient with heart failure, sleep apnea syndrome, and CRF. Key words: Cheyne-Stokes respiration; heart failure; sleep apnea syndrome

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