"Yes, doctor, this patient has pain caused by a large pannus. ETOH, A&O times 2."
And, you, the patient, sit there, not knowing that the doctor has just called you a fat alcoholic who doesn't know what day it is.
I looked up pannus to make sure I was spelling it right-- it's used more out loud than in the notes. And wikipedia tells me it's actually being used incorrectly. We use it to mean a large stomach, in an obese patient. But apparently that's actually panniculus, and pannus is an abnormal layer of fibrovascular tissue. The fact that I'm relying on wikipedia to tell me this is perhaps a little frightening. We use pannus all the time to mean a big fat stomach. And now I'm not really sure why, assuming wikipedia knows what it's talking about. And the entry for panniculus has a whole grading system that we don't use and I've never heard of:
Panniculus barely covers the hairline and mons pubis but not the genitalia.
Extends to cover the genitalia.
Extends to cover the upper thigh
Extends to cover the mid thigh.
Extends to cover the knees or beyond.
Fascinating, I suppose. Wikipedia knows more than I do.