21. Pickwickian Syndrome one click For Medical Professionals only. pickwickian syndrome,,Print this article, somnolence, with daytime fatigue and marked http://www.amershamhealth.com/medcyclopaedia/Volume VII/PICKWICKIAN SYNDROME.asp

Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase. All forms of the word are searchable. Advanced search Browse entry words starting with: A B C D ... Other characters Try our Medcyclopaedia Premium Edition with added tools and functionality tailored to make your working day easier. The following tools are presently available: Expanded search *For Medical Professionals only, registration required 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 Welcome to Medcyclopaedia. This site is open to a public audience, still we want to know a little more about our visitors. Please tick off the boxes that match your profile. Do you live in Europe? Yes No Are you a medical professional?

22. Pickwickian Syndrome - General Practice Notebook pickwickian syndrome. pickwickian syndrome is named after a characterin Charles Dickens' book, The Pickwick Papers . This character http://www.gpnotebook.co.uk/cache/2067070988.htm

Pickwickian syndrome Pickwickian syndrome is named after a character in Charles Dickens' book, "The Pickwick Papers". This character was obese and had a tendency to fall asleep during the day. Pickwickian syndrome has become a term used to describe individuals who are obese, have some degree of respiratory failure during the day and suffer from cor pulmonale. There is a reliance on hypoxic drive for ventilation rather than hypercapnia. Other features include: sleep apnoea episodic somnolence secondary polycythaemia right ventricular hypertrophy or failure Click here for more information...

23. Obesity Hypoventilation Syndrome - General Practice Notebook obesity hypoventilation syndrome. pickwickian syndrome is named aftera character in Charles Dickens' book, The Pickwick Papers . http://www.gpnotebook.co.uk/cache/-1825243091.htm

obesity hypoventilation syndrome Pickwickian syndrome is named after a character in Charles Dickens' book, "The Pickwick Papers". This character was obese and had a tendency to fall asleep during the day. Pickwickian syndrome has become a term used to describe individuals who are obese, have some degree of respiratory failure during the day and suffer from cor pulmonale. There is a reliance on hypoxic drive for ventilation rather than hypercapnia. Other features include: sleep apnoea episodic somnolence secondary polycythaemia right ventricular hypertrophy or failure Click here for more information...

24. Pickwickian Syndrome : Meddie Health Search During Sleep Signs and symptoms of sleep apnea and pickwickian syndrome; effectson the heart and other systems; treatment options; therapy and research. http://www.meddie.com/search/Health/Conditions_and_Diseases/Sleep_Disorders/Slee

HOME ADD A LINK MODIFY A LINK NEW LINKS ... TOP RATED Search Meddie: the entire directory only this category More search options Home Health Conditions and Diseases ... Sleep Apnea : Pickwickian Syndrome ITEMS: LINKS: Breathing Disorders During Sleep Signs and symptoms of sleep apnea and Pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. (Rating: 0.00 Votes: 0) Rate It Pickwickian A physician's story of a patient with the syndrome. (Rating: 0.00 Votes: 0) Rate It Pickwickian Syndromes Vanderbilt University discussion of the history of naming the syndrome, the causes, and its progression. (Rating: 0.00 Votes: 0) Rate It HOME ADD A LINK MODIFY A LINK ... Design © ISC Enterprises Inc.

25. Sleep Apnea : Meddie Health Search CATEGORIES pickwickian syndrome (3). ITEMS LINKS Pages 1 2 .A Doctor with Sleep Apnea Reviews Recent Research for Fellow http://www.meddie.com/search/Health/Conditions_and_Diseases/Sleep_Disorders/Slee

HOME ADD A LINK MODIFY A LINK NEW LINKS ... TOP RATED Search Meddie: the entire directory only this category More search options Home Health Conditions and Diseases ... Sleep Disorders : Sleep Apnea CATEGORIES: Pickwickian Syndrome ITEMS: LINKS: Pages: 1 A Doctor with Sleep Apnea Reviews Recent Research for Fellow Patients A physician, afflicted with disabling obstructive sleep apnea, presents recent research publications of relevance to sleep patients. The publications are summarized in lay language and comments are included. E-mail questions are welcomed. (Rating: 0.00 Votes: 0) Rate It A.P.N.E.A. Network Welcome Page Sleep Apnea patient help, news, and information source. (Rating: 0.00 Votes: 0) Rate It Articles on Sleep Disorders Dr. White, a physician afflicted with severe sleep apnea writes weekly articles of his own on apnea and sleep disorders. (Rating: 0.00 Votes: 0) Rate It AskMen.com Includes information and tips on preventing snoring. (Rating: 0.00 Votes: 0) Rate It Central Sleep Apnea Syndrome Sleep apnea syndrome is a sleeping disorder where a person's breathing is interrupted many times during the night. Sleep apnea may be central,obstructive,or mixed. (Rating: 0.00 Votes: 0)

26. 1Up Health > Obesity Hypoventilation Syndrome (OHS) (Pickwickian Syndrome) Infor Comprehesive information on Obesity hypoventilation syndrome (OHS) (Pickwickiansyndrome). Guide. Alternative names pickwickian syndrome. Definition http://www.1uphealth.com/health/obesity_hypoventilation_syndrome_ohs.html

1Up Health Alternative Medicine Clinical Trials Health News ... Health Topics A-Z Search 1Up Health Obesity hypoventilation syndrome (OHS) Information Guide Alternative names : Pickwickian syndrome 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. Jump to a Section of this Guide Definition Causes, Incidence, and Risk Factors Symptoms Prevention ... Calling your Health Care Provider Related Tools and Utilities Search Books on Amazon: Read Articles on eLibrary: Health Products on drugstore.com: Cor pulmonale Hypertension Obstructive sleep apnea Respiratory acidosis ... More More Topics Breathing difficulty Chronic Depression Peripheral edema ... More Search 1Up Health A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial reviewers . A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). Home Contact Us Privacy Links Directory

27. 1Up Health > Obesity Hypoventilation Syndrome (OHS) > Causes, Incidence, And Ris Comprehesive information on Obesity hypoventilation syndrome (OHS) (Pickwickiansyndrome). Alternative names pickwickian syndrome. Definition http://www.1uphealth.com/health/obesity_hypoventilation_syndrome_ohs_info.html

1Up Health Obesity hypoventilation syndrome (OHS) Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Obesity hypoventilation syndrome (OHS) Information Obesity hypoventilation syndrome (OHS) Causes, Incidence, and Risk Factors Alternative names : Pickwickian syndrome 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. 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).

28. Obesity Hypoventilation Syndrome (OHS) during sleep or while awake. Alternative Names pickwickian syndrome.Causes, incidence, and risk factors The cause of OHS in unknown http://www.pennhealth.com/ency/article/000085.htm

Disease Injury Nutrition Poison ... Prevention Obesity hypoventilation syndrome (OHS) 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). Morbid (massive or excessive) obesity is the main risk factor. Review Date: 1/26/2002

29. ETenet - Library pickwickian syndrome. Definition. pickwickian syndrome is a disorder that was namedafter Joe, the fat, red faced boy in Charles Dickens' The Pickwick Papers. http://www.etenet.com/Apps/Library/Corporate.asp?ID=700

30. ETenet - Library Pharyngitis. Phenylketonuria. Phimosis. Phlebitis. Phobias. pickwickian syndrome.Pigeonbreeder's Disease. Pinworms. Pituitary Gland. Pityriasis. Placenta Previa. http://www.etenet.com/Apps/Library/Corporate.asp?Letter=P

31. Did You Know - About Pickwickian Syndrome? Find out about pickwickian syndrome here. Patients with pickwickian syndromeare often severely compromised in their activities of daily living. http://nursing.about.com/library/1999/bldyk042402.htm

zfp=-1 About Nursing Search in this topic on About on the Web in Products Web Hosting Nursing with Laura Robusto Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS About the Profession of Nursing How Do I Become a Nurse? Career Focus Series ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement Did You Know... ...that there is a serious medical disorder named after a Dickens character? "Pickwickian syndrome", also known as obesity hypoventilation syndrome is named after Joe , an obese, sleepy, red-faced minor character in Charles Dickens' book "The Posthumous Papers of the Pickwick Club." Massive obesity can cause reduction in chest wall movement, which in turn can lead to hypoventilation, hypoxia and hypercapnia (carbon dioxide retention.) The body attempts to compensate for the hypoxia by increasing the percentage of red blood cells (polycythemia), increasing the patient's risk of venous thrombosis and pulmonary embolism. Chronic hypoxia can also lead to constriction of the pulmonary arteries, leading to pulmonary hypertension, right-sided heart failure and peripheral edema. Because nighttime sleep is disturbed, patients frequently nod off uncontrollably during the day. Patients with Pickwickian syndrome are often severely compromised in their activities of daily living.

32. SLUCare pickwickian syndrome. Definition. pickwickian syndrome is a disorder that was namedafter Joe, the fat, red faced boy in Charles Dickens' The Pickwick Papers. http://www.slucare.edu/patient/library/articles/700.shtml

Medical Terminology Library A B C D ... P Q R S T U ... W X Y Z Pickwickian Syndrome Definition 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. (Back to Top) Description About 2.5 million people in the U.S. suffer from sleep apnea (episodes of cessation of breathing during sleep) with men outnumbering women. The several conditions often associated with obstructive sleep apnea include obesity and a short thick neck, and reduction in muscle tone of the soft palate, the uvula (the small, conical, fleshy tissue hanging from the center of the soft palate), and the pharynx. The upper airway may be narrowed by enlarged tonsils or adenoids, a deviated nasal septum, nasal polyps, or congenital abnormalities. Even at high altitudes sleep disruption may occur because of low oxygen concentration. The Pickwickian syndrome consists of moderate to extreme obesity, alveolar (a hollow sac or cavity) hypoventilation, prolonged drowsiness, twitching, cyanosis (a dark bluish to purplish coloration of the skin), periodic breathing, secondary polycythemia (excessive red blood cells caused by low oxygen), and right sided heart failure. Details of the origin and development of this obesity hypoventilation syndrome are unknown, as is its true incidence. Studies show that the syndrome can exist in non-obese patients as well.

33. Centro Medico Teknon : Library Translate this page pickwickian syndrome Definition pickwickian syndrome is a disorder that was namedafter Joe, the fat, red faced boy in Charles Dickens' The Pickwick Papers. http://www.teknon.es/Library/Library.asp?745

34. Historical Perspective sleepy, redfaced, fat boy from Charles DickenÕs book The Posthumous Papers ofthe Pickwick Club (1837), they called this syndrome the pickwickian syndrome. http://www.wfsrs.org/newsletters/Newsletter8_1/inside/historicalperspective.html

Who actually coined the term "Pickwickian" syndrome? Peretz Lavie Ph.D. In 1956 Burwell and colleagues (1) reported on an obese patient with heart failure and respiratory acidosis who was also extremely sleepy. Because this patient reminded them of the picturesque character Joe, the sleepy, red-faced, fat boy from Charles DickenÕs book "The Posthumous Papers of the Pickwick Club (1837), they called this syndrome the Pickwickian syndrome. The term was enthusiastically adapted by the medical community and numerous papers had been reported on Pickwickian patients by the mid-70s. In fact, following Burwell et al.'s publication, almost every sleepy patient was indiscriminately described in the medical literature as "a Pickwickian patient." This was the case even in cases where the underlying pathology was narcolepsy. Some years before, the same practice prevailed when every sleepy patient was termed "narcoleptic". Although Burwell et al. have been widely credited for coining the term the "Pickwickian Syndrome", careful reviewing of the medical literature reveals that the term "pickwickian" was used to describe fat, sleepy patients already well before Burwell et al.Õs publication, not once, but several times. Moreover, whereas Burwell et al. did not ascribe their patientsÕ problem to a breathing disorder in sleep, the earlier descriptions of "pickwickian patients" leave no doubt to what was the underlying disorder of those sleepy patients. On February 8, 1889, Richard Caton of Liverpool, England, presented to the Clinical Society of London what he misnamed "a case of narcolepsy." The patient was a 37-year old poulterer who complained of intense drowsiness, appearing coincidentally with a weight increase. His condition became quite severe:

35. SleepHelpUSA-Home It can even be fatal, if left untreated, especially a particular formreferred to as pickwickian syndrome. The pickwickian syndrome http://sleephelpusa.com/snoring.phtml

Snoring Sleep Apnea Symptoms Risks ... Sleep tips Snoring What a simple, funny thing that snoring is. Kids think that it is something funny that daddy does. Wives, may even joke to their friends about how loud their husbands snore. It affects approximately 44% of men and 30% of women. The snoring sound occurs when there is upper airway resistance that is caused by the narrowing of the airway passage between the free edge of the soft palate and the back of the tongue. The free edge of the soft palate will vibrate as the air passes over it causing the snoring sound. While most snoring is normal, there is one kind of snoring that can have serious effects...... Sleep Apnea . Sleep apnea can have several different symptoms and can cause many problems. It can even be fatal, if left untreated, especially a particular form referred to as Pickwickian Syndrome The Pickwickian syndrome may be defined as hypoventilation Go here and take our Sleep Quiz to see if you are at risk for sleep apnea.

36. Ask Jeeves: Search Results For "Cpap Asthma" 1. pickwickian syndrome Resources on the Internet pickwickian syndrome ExternalLink Opens in a New Window Health Conditions and Diseases Cardiovascular http://webster.directhit.com/webster/search.aspx?qry=Cpap Asthma

37. Health Ency.: Disease: Obesity Hypoventilation Syndrome (OHS) Alternative names pickwickian syndrome. Definition Obesity hypoventilationsyndrome (OHS) is a condition related to obstructive http://www.austin360.com/shared/health/adam/ency/article/000085.html

SEARCH: The Web Yellow Pages HOME Illustrated Health Encyclopedia Important notice Ency. home Disease O Obesity hypoventilation syndrome (OHS) Overview Symptoms Treatment Prevention Alternative names: Pickwickian syndrome 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. Causes and Risks 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). Morbid (massive or excessive) obesity is the main risk factor.

38. University Of Miami School Of Medicine - Glossary - Pickwickian Syndrome pickwickian syndrome. pickwickian syndrome The combination of obesity, somnolence(sleepiness), hypoventilation (underbreathing), and plethoric (red) face. http://www.med.miami.edu/patients/glossary/art.asp?ArticleKey=4896

39. MDAdvice.com - The Reliable Health Information Source Provides health and medical information, health tips, resources, experts, news, chats, and community Category Health Resources Consumer Information...... stories. ASK A DOCTOR. FEATURE D Q A pickwickian syndrome What ispickwickian syndrome? Read our Q A to find out. CURRENT HEALTH TIP. http://www.mdadvice.com/

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

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