Obesity

Obesity

1. Liver

   • Function
     • Metabolic role
       • Glycogenosis
         • 1. Glucose activation
           • 2. Glycogen chain synthesis
             • 3. Branching of the glycogen
       • FA synthsis
         • A. Transport of acetyl COA into
           • B. Carboxylation
             • C. Elongation and desaturation
       • Detoxification
         • Digestion
           • Immunity
             • Storage
   • Anatomy
   • LIVER CIRRHOSIS
     • Pathology
       • Fibrosis
         • Regenerative Nodular
           • Loss normal architucture
     • Complication
       • Liver Failure
         • Portal Hypertension
           • Hepatocelular carcinoma
             • Pathogenesis
             • C/P
               • Asymptomatic
                 • abdominal mass
                   • Weakness
                     • Anorexia
                       • haematemesis
                         • malaise
             • Management
               • Surgical resection
                 • Alcohol injection
                   • Liver transplant

2. Investigations

   • Nutritional assessment
     • clinical
       • biochemical
         • anthropometric
   • Measurements of Obesity
     • Body Mass Index
       • Waist circumference
         • Waist/hip Ratio
           • Skin Fold thickness
             • BIoelectric Impedance
               • Densitometry
                 • Hydrometry
                   • Dexa
                     • CT & MRI

3. Metabolic Syndrome

   • Hypertension
     • Insulin Resistance
       • Dyslipidemia
         • Obesity
   • Risk Factors
     • Age
       • Race
         • Diabetes

4. Management

   • Life style Changes
     • reducing energy intake
       • increasing physical activity
         • behavioral measures
   • Anti-obesity drugs
   • Bariatric surgery

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