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What is Pickwickian Syndrome?

Test your knowledge with the February 2018 Brain Teaser

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Q: What is the Pickwickian syndrome? In which type of patient does it occur? How can it be addressed?

3 thoughts on “What is Pickwickian Syndrome?

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  2. Pickwichian was a character in Sir Authur Doyle, the doctor that wrote Sherlock Holms. He was a short man, without a obvious showing neck, in that his chin was near his chest. He had a barrel chest. From memory he had an enlarged right heart and likely tracheal disease. Doyle coined the phrase, ” Not invisible Watson, Just unnoticed. I cannot make you realize the importance of shirt sleeves, the suggestive of thumb nails and all the issues that hang from a boot lace”. from the papers of the Pickwichian Club. I studied this at Michigan State University, when Dr. George Eyster was teaching heart/chest radiology in the early 1980’s.

  3. Response to Answer: If need for anesthesia (Procedure to occur) would allow tilting the surgery table head up, hind end lower, this would reduce pressure on the diaphragm by internal organs and likely decrease ventilator inspiratory pressure required to maintain adequate gas exchanges ( ie less chance barotrauma).

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