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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.
Is the obesity ... DIAGNOSTIC WORKUP
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Pediatric obesity is increasing at epidemic proportions. The Centers for Disease Control define “at risk of overweight” as a body mass index (BMI, kg/m2) of ≥85%ile and <95%ile for age and>... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnosis of obesity, like that of weight loss, is best developed using physiology because most cases of obesity are caused by an absolute increased intake of calories or a relative increased intake of calories over output of energy. Fluid retention may also
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... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized or diffuse and may occur gradually or suddenly.... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
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... Mechanical Bowel Obstruction
Extraluminal compression
Congenital abnormalities
Annular pancreas
 
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... Obesity is an excess of body fat, generally 20% above ideal body weight. The prognosis for correction of obesity is poor: Fewer than 30% of patients succeed in losing 20 lb (9 kg), and only half of these maintain the loss over a prolonged period. ... Causes and incidence ... Diagnosis ... Treatment ... Special considerations
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... Abdominal distention refers to increased abdominal girth—the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized or diffuse and... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Differential Overview
❑ Caloric excess
❑ Depression
❑ Drugs
❑ Hypothyroidism
&... Diagnostic Approach ... Clinical Findings ... Pictures
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... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized or... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Obesitycan be defined as an excess of body fat. Children with obesity are at risk fordevelopment of diabetes mellitus, hypertension, sleep apnea, anddyslipidemia. They also may lack confidence and self-esteem andcan develop significant depression. ... Principal Causes of Obesity ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Abdominal distention refers to increased abdominal girth—the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized or diffuse and may occur gradually or suddenly.... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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The differential diagnosis of obesity, like that of weight loss, is
best developed using physiology because most cases of obesity are
caused by an absolute increased intake of calories or a relative increased
intake of calories over... Pictures
... READ EXCERPTS »