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OBESITY
- Obesity: a comprehensive review of frequency, aetiology, pathology,
clinical manifestations, diagnostic work-up and management of obesity cases
-
http://www.emedicine.com/med/topic1653.htm
- Obesity in children: a comprehensive review -
http://www.emedicine.com/ped/topic1699.htm
- Obesity-Hypoventilation Syndrome and Pulmonary
Consequences of Obesity (Synonyms: Pickwick syndrome,
pickwickian syndrome, obstructive sleep apnoea / hypoventilation, OSA/H: a
comprehensive review -
http://www.emedicine.com/ped/topic1627.htm
- Breathing-Related Sleep Disorder Review -
http://www.emedicine.com/med/topic3130.htm
- Insulin Resistance: a metabolic syndrome: review -
http://www.emedicine.com/med/topic1173.htm
- Prader-Willi Syndrome Review: Babies with this
chromosomal microdeletion / disomy disorder are obese, short statured with
small hands and feet, mentally retarded, physically hypoactive and have
strabismus and hypogonadotropic hypogonadism -
http://www.emedicine.com/ped/topic1880.htm
- Leptin: an overview from Wikipedia, the free encyclopaedia -
http://en.wikipedia.org/wiki/Leptin
Measures:
Lab Studies:
Additional Lab Studies: May be
required in a child with obesity:
Imaging Studies:
Additional Studies for
Obesity-Hypoventilation Syndrome:
Additional Studies for Insulin Resistance:
Additional Studies for Prader-Willi Syndrome:
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Genetic testing can be done for PWS. The
tests include:
- Chromosomal analysis and
assessment for methylation patterns in the PWS region.
Methylation patterns can be determined by PCR using DNA primers, which
detect methylated cytosine, or by Southern blot hybridization. Samples
should be taken from both parents and the child with PWS. This would
enable analysis for uniparental disomy.
- Prenatal diagnosis requires chorionic villus sampling or
amniocentesis in the first hand. If deletion in the 15q region is
suspected, it can be confirmed by Fluorescent in situ hybridization
(FISH).
- If imprinting centre mutation is found in a given
patient, we should proceed to testing both parents of the given patient
for the presence of asymptomatic mutations in the imprinting centre. If
found, it suggests a high likelihood of recurrence.
- Medline Plus: Karyotyping (when Prader-Willi syndrome [15q-] is
suspected) -
http://www.nlm.nih.gov/medlineplus/ency/article/003935.htm
- American Association of Clinical Chemistry: Insulin-like
Growth Factor - 1 (IGF-1) - also known as Somatomedin C -
http://www.labtestsonline.org/understanding/analytes/igf1/glance.html
- Medline Plus: Bone mineral density (BMD) test: The aim is
to detect and monitor osteoporosis-
http://www.nlm.nih.gov/medlineplus/ency/article/007197.htm
- Medline Plus: Chest X-ray: Done if cor-pulmonale is
suspected-
http://www.nlm.nih.gov/medlineplus/ency/article/003804.htm
Standard Anthropometric Measurements: The aim is to estimate the
degree of visceral and subcutaneous fat.
Estimation of Skin Thickness:
Risk Assessment Tools:
Questionnaire:
Statistics:
Document Author: Dr. Fazal Danish
Document Created: 29th March 2006
Document Edits:
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