Download Pediatric Endocrinology: Obesity, Diabetes Mellitus, Insulin by Fima Lifshitz PDF

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By Fima Lifshitz

Celebrating greater than two decades because the unmarried most sensible resource within the box, this 5th variation has now extended into cornerstone volumes with fifty three absolutely inclusive chapters and seventy three well known members that comprehensively deal with each subject and development appropriate to the id, prognosis, and administration of endocrine and endocrine-related issues in young ones. considerably revised, the 5th version covers the main up to date appraisal of weight problems within the pediatric inhabitants, in addition to examines the most recent breakthroughs within the care of diabetes, hypoglycemia, insulin resistance, and hypoglycemic syndromes. This 5th version additionally devotes chapters to the ailments of the endocrine glands, together with issues of progress, the adrenal cortex and medulla, in addition to sexual differentiation, thyroid, and parathyroid stipulations and fluid stability ailments.

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Extra info for Pediatric Endocrinology: Obesity, Diabetes Mellitus, Insulin Resistance, and Hypoglycemia

Sample text

This coincided with an acceleration of linear growth but of a lesser magnitude than that of weight gain. 5 cm) represents 249% of her ideal body weight for height. In contrast, in Figure 2, the growth chart of Michael with a pattern of constitutional overweight is shown. In this patient, body weight progression was constant Figure 2 Growth chart of Michael, a patient with constitutional overweight (see text). 8 Alemzadeh et al. all efforts need to be made to stop the disproportionate body weight accretion including new patential therapies (150).

This is characterized by increased ventilation of upper lobes and increased perfusion of the lower lobes. Insufficient elimination of carbon 4 Alemzadeh et al. dioxide, in some obese subjects, leads to hypoventilation (Pickwickian) syndrome (84), which is characterized by chronic hypoxemia and hypercapnia. These subjects have blunted respiratory drive to both hypoxemia and hypercapnia. However, parents of obese children and adolescents usually report that their children snore loudly and sometimes appear to stop breathing during sleep.

Nonalcoholic liver disease is a major cause of liverrelated morbidity and is usually associated with the presence of insulin resistance in individuals with obesity (78,79). Gallbladder disease, cholelithiasis, has been reported to be three times more common in morbidly obese people than in normal subjects (80). Gallstones may also result while the obese person is on a hypocaloric diet. This may be due to mobilization of adipose tissue cholesterol during weight loss (81). Furthermore, the risk of colorectal cancer and gout was increased among women who had been obese in adolescence.

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