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Pickwickian syndrome

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Alternate Names : Pickwickian syndrome
Definition
Obesity hypoventilation syndrome (OHS) is a condition that occurs in obese people, in which poor breathing leads to lower oxygen levels and higher carbon dioxide levels in the blood.

 


Pickwickian syndrome
Causes, incidence, and risk factors
The exact cause of OHS in unknown. Most (but not all) patients with the syndrome have a form of sleep apnea.

Pickwickian syndrome
Definition of Obesity hypoventilation syndrome (OHS): ...

The Pickwickian syndrome, named for an overweight character in a Dickens novel, occurs in severe obesity when lack of oxygen produces intense and chronic sleepiness and, eventually, heart failure.
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People who are obese tend to take smaller or shallower breaths (pickwickian syndrome). These small, gasping breaths may not get as much oxygen into the blood as needed, leaving them always tired.

In some cases, sleep apnea is referred to as "Pickwickian Syndrome." In these cases, obstructive apnea is combined with obesity and an abnormally short neck. Infantile sleep apnea affects children less than one year old, and its cause is unknown.

Fatigue (especially after exertion), shortness of breath, decreased energy, palpitations, irregular heart beat, edema (especially swelling of the feet and legs), sleep apnea (Pickwickian syndrome) and respiratory obstruction (for obesity to cause ...

right-to-left shunting of blood in the heart (as in transposition of the great vessels)
central or peripheral alveolar hypoventilation (as in barbiturate intoxication or pickwickian syndrome)
low oxygen content of air at high altitudes.

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Patients with the Pickwickian syndrome (named after a Charles Dickens character) are obese and sleepy, with right heart failure, pulmonary hypertension, and chronic daytime low blood oxygen (hypoxemia) and increased blood CO2 (hypercapnia).

Osteoarthritis (degenerative arthritis) of the knees, hips, and the lower back
Sleep apnea (failure to breath normally during sleep, lowering blood oxygen)
Pickwickian syndrome (obesity, red face, underventilation, and drowsiness).

because of the adverse effects the following day. A man who has a collar size of more than 17' will have an increased likelihood of suffering from obstructive sleep apnoea. Another name for obstructive sleep apnoea is “Pickwickian Syndrome'.

See also: Sleep apnea, Cancer, Symptom, Arthritis, Asthma

Disease Pick disease of the brainPie

 
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