OBESITY, PATHOLOGIC

OBESITY, PATHOLOGIC: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the Following Questions:

1. Is there associated hyperphagia? If the patient recognizes that he or she has a ravenous appetite or eats more than is necessary, the possibility of an insulinoma or Fröhlich's syndrome should be considered.
2. Is the obesity centripetal? The presence of centripetal obesity, especially with moon facies, should suggest Cushing's syndrome.
3. Is the obesity mainly of the lower extremities? This finding would suggest lipodystrophy.
4. Is there mental retardation? The presence of mental retardation should suggest Laurence-Moon-Bardet-Biedl syndrome.
5. What is the sex of the patient? In male patients one should consider Klinefelter's syndrome, and in female patients one should consider polycystic ovary.

DIAGNOSTIC WORKUP

Routine laboratory tests include a CBC, urinalysis, chemistry panel, 2-hr postprandial blood sugar, and thyroid profile. If an insulinoma is strongly suspected, a 24- to 36-hr fast, a 5-hr glucose tolerance test, and tolbutamide tolerance test may be done. If Cushing's syndrome is suspected, a serum cortisol and cortisol suppression test should be done. Pelvic ultrasound will help diagnose polycystic ovaries. Chromosomal analysis will help diagnose Klinefelter's syndrome. Perhaps a psychiatrist should be consulted.

Book Source Details

• Book Title: Algorithmic Diagnosis of Symptoms and Signs
• Author(s): R. Douglas Collins
• Year of Publication: 2003
• Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

More About Kleptomania

• Back to disease: Kleptomania: Introduction
• Next Book Extract About Kleptomania: PATHOLOGIC REFLEXES (Algorithmic Diagnosis of Symptoms and Signs)
• More Book Extracts: All Online Books for Kleptomania

More Medical Textbooks Online about Kleptomania

Review other book chapters online related to Kleptomania:

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

More About This Book: Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9

 » Next page: PATHOLOGIC REFLEXES (Algorithmic Diagnosis of Symptoms and Signs)

Rate This Website

What do you think about the features of this website? Take our user survey and have your say:

Website User Survey

Medical Tools & Articles:

Next articles:

• PATHOLOGIC REFLEXES (Algorithmic Diagnosis of Symptoms and Signs)
• ANKLE CLONUS AND HYPERACTIVE AND PATHOLOGIC REFLEXES (Differential Diagnosis in Primary Care)
• Do not ignore regurgitant murmurs, they are pathologic (Avoiding Common Pediatric Errors)
• Surveys relating to Kleptomania
• Ask Question about Kleptomania

Tools & Services:

• Bookmark this page
• Symptom Search
• Symptom Checker
• Medical Dictionary
• Give your feedback

Medical Articles:

• Disease & Treatments Search
• Misdiagnosis Center
• Full list of interesting articles

Forums & Message Boards

• Ask or answer a question at the Boards:
• I cannot get a diagnosis. Please help.
• Tell us your medical story.
• Share your misdiagnosis story.
• What is the best treatment for my condition?
• See all the Boards.

Enter your search terms Submit search form
Search The Web Search wrongdiagnosis.com

Common Health Mistakes

Symptom
Checker

Search Specialists by State and City