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Is there dyspnea? If there is a history of dyspnea, heart disease or lung disease should be suspected.
Is there a history of drug or alcohol ingestion? There are many drugs that may cause insomnia, including the ... DIAGNOSTIC WORKUP
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Insomnia may be a primary diagnosis or a complaint or symptom secondary to an underlying acute or chronic disorder. Many patients have insomnia but do not tell their doctors, so questions about sleep quality should be asked during health maintenance visits. A... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... It is customary to assume that the cause of the disorder is psychogenic and simply to prescribe a sleeping pill to anyone suffering from insomnia, hoping that it will go away by itself. Although this may be true in many cases, the conscientious clinician should
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... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as bedtime approaches, and psychiatric disorders.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as bedtime approaches, and psychiatric disorders.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Charles E. Henley
Insomnia is more than just being unable to fall asleep. It is a subjective condition of insufficient or nonrestorative sleep despite an adequate opportunity to sleep (1). The Institute of Medicine and most current studies place the... Approach. ... History ... Physical examination. ... Testing ... Diagnostic assessment
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... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as bedtime approaches, and psychiatric disorders. This... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Insomnia is the inability to fall asleep, remain asleep, or feel refreshed by sleep. Acute and transient during periods of stress, insomnia may become chronic, causing constant fatigue, extreme anxiety as bedtime approaches, and psychiatric disorders. This... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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It is customary to assume that the cause of the disorder is psychogenic
and simply to prescribe a sleeping pill to anyone suffering from insomnia,
hoping that it will go away by itself. Although this may be true in many
cases, the conscientious clinician... Pictures
... READ EXCERPTS »
... Author:
Renée Roberts, MD
What to Do - Make a Decision
The mediastinum is comprised of superior, anterior, middle, and posterior
compartments; however, masses in the anterosuperior compartment of children can be... Suggested Readings
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