What is this condition called in bariatric patients?

[0.adamantite]

I was involved in helping clean a dead patient. The patient was extremely overweight though I'm not sure exactly, however we are talking 500+ lbs. The nurse I was working with was more experience and said, "Look at this. This is something you might not see again." The nurse point out the way the patient's pannus was oddly misshaped. Most of it seemed to be located on one side of the patient and it was hard, lumpy, and discolored. The nurse explained to me that since the patient preferred to lay on one side most of his life and was so overweight that his stomach pannus had moulded into that shape due to the way he was laying.

I ask because I did in fact see this again recently. I was trying to describe it to a coworker and in my chart. Is there a name for this condition?

[psu_213, BSN, RN]

Could it be similar to a callus? I.e., that part of the pannus that lays (lies?) against the bed mattress each night grows a callus to protect the tissue.

[Nursynursenurse, ADN, RN]

Sounds to me like the blood of the deceased migrated to the lowest point. In this case, that part of the pannus.

That would be cadaveric lividity but would only refer to the pooling of blood after death.

The best terms I can come up with is lipodystrophy or Lipodema which relate to an uneven distribution of fat cells.

[anon456, BSN, RN]

This whole thread, which I wish I had not opened and read through in the first place, makes me really glad I work peds.

[delphine22]

This whole thread, which I wish I had not opened and read through in the first place, makes me really glad I work peds.

You don't get any fat kids?

[LadyFree28, BSN, LPN, RN]

You don't get any fat kids?

I know I do.

[Nibbles1]

I know,I was ignoring the facts to make my feeble attempt at humor.If you are not familiar with Monty Python look up The Parrot sketch on you tube.

Too funny! We were just quoting Monty Python last night. I loved the rabbit scene. Ah, what a cute little Bunny....

[anon456, BSN, RN]

You don't get any fat kids?

Um . . . so far not any to that degree-- maybe it's the floor I work on.

[bluegeegoo2, LPN]

I know,I was ignoring the facts to make my feeble attempt at humor.If you are not familiar with Monty Python look up The Parrot sketch on you tube.

I'm always quoting Monty Python at work and usually get the "deer in the headlights" look from people. (...Are you suggesting coconuts migrate? ) Off topic I know and I apologize but I just couldn't help it.

[Red Kryptonite]

I'm always quoting Monty Python at work and usually get the "deer in the headlights" look from people. (...Are you suggesting coconuts migrate? ) Off topic I know and I apologize but I just couldn't help it.

That's because only the cool kids get it!

[0.adamantite]

The patient that was dead had most of his panniculus on one side.

However the alive patient laid on their back most (I presume). When we turned the patient to look at the skin on the backside, I noted two of these areas on either side of the patient. Like when you're laying on your back and your belly flattens out but spreads out to the sides.

Is there a term for when you body moulds to repeated stress? I.e. I once had a lady in the nursing home who had her toes all smooshed together and overlapping because she spend in her life in pointed toe high heels (or so she told me).