OBESITY avoirdupois describe as sufficient body fat has accumulated to adeversly have an effect on health,or body mass index on top of twenty five kg/m2 . WHO suggested CLASSIFICATION OF avoirdupois (1)underweight WHO have bmi below eighteen (2)normal WHO have bmi between eighteen.5 to 24.5 (3)overweight WHO have bmi on top of twenty five ETIOLOGY OF avoirdupois (1)Genetic causes Some genetic inheritant is also chargeable for avoirdupois likebarded belly syndrome,leptic deficiency, pradee Willi syndrome etc (2)Environment causeas (à)high energy diet (b)physical inactivity (3)Endocrine sickness endocrine sickness like pubescence adiposeness,hypothyroidism,cushing's syndrome,polycystic sex gland syndrome (4)drugs induce avoirdupois medicine like metallic element valporateprednisolone atenolon ,gliclazide will induce avoirdupois in some patient MANAGMENT OF avoirdupois (1)Exercise Exercise is beneficial as supplements to diet unless there's medical contradiction (2)Diet managemente -Rigid diet is best treatment control 800 to 900 calories per day - food ought to contain all essential foodstuffs -food to be avoided -bread any issue created with flour,cereals,potatoes and different whole root vegetables,food containing abundant sugers ,and fatty foods -food to and eggs (3)Drugs (a)sibutramine -inhibits uptake of noeadrinaline and serotonine ,prolonging satiation (b)orlistat -orlistat is enteral enzyme substance. -it generates assimilation of half-hour dietory fat.(c)Rimonabant it's canaboid receptor antagonist it induce weight loss (4) Bulk agents that province essential nutrients and felling of satiation (5)Psychotherapy -Motivation for weight reduction should be cultivated in patient mind -Neurotic patient square measure far-famed to hunt relief from anxiety by uptake (6)surgery (a)Vertical banded gastroplication limits food consumption b)gastric bypass with Roux-en-y is simplest
ACUTE Bright\'s disease It is most typical in kids,characterised pathologically by diffuse inflammatory changes within the glomeruli and clinically by typically abrupt onset of macroscopic haematuria, protienuria, oedema, high blood pressure and impaired excretory organ operate with or while not oliguria. CLINICAL options OEDEMA could {also be|is also} come back on suddenly or bit by bit swelling of face and whitish wanness represent \"nephritic faces\"swelling of face typically in morning generalised hydrops could happens edema is also absent in gentle cases and also in terribly severe cases HYPERTENSION hypertension happens in majority of cases,the blood pressure being ninety to one hundred twenty metric linear unit . in five to ten take advantage of patients hypertensive neurological disorder develops. high blood pressure could create to pulmonic edema. JVP is often elevated and with peripheral edema presents an image of CHF excretory organ reten...