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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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Is there excessive snoring? Excessive snoring would indicate obstructive sleep apnea from large tonsils, deviated nasal septum, cleft palate, other abnormalities, and obesity.
Is there obesity? More ... DIAGNOSTIC WORKUP
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Are there abnormalities on neurologic examination? An abnormal neurologic examination should make one think of multiple sclerosis, peripheral neuropathy, muscular dystrophy, Parkinson's disease, Huntington's chorea, and a ... 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
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... The differential diagnosis of sleep apnea may be arrived at by utilizing both physiology and anatomy. Normal sleep requires an unobstructed pathway from the nasopharynx to the lung and an intact central nervous system that responds to
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... The anatomic location of the lesion in a gait disturbance depends on the type of disturbance.
GAIT DISTURBANCES
Spastic gait. In this type of lesion, both feet shuffle along
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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 common complaint is experienced... 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... Approach. ... History ... Physical examination. ... Testing ... Diagnostic assessment
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... Differential Overview
Acute Loss/Scotoma
❑ Ophthalmic migraine
❑ Amaurosis fugax
❑ Retinal detachment
... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Insomnia
❑ Stress
❑ Drugs
❑ Medical disorders
❑ ... Diagnostic Approach ... Clinical Findings
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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 ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...An important role of the primary care physiciancaring for children is to screen for visual problems, so that lossof vision can be prevented or treated when possible. The precisediagnosis is usually made by an ophthalmologist. This chapter discussesthe more common... Principal Causes of Vision Disturbances ... Clinical Features and Diagnosis ... Table 74.1. Common Causes of Cataracts in Infants and Children ... Diagnostic Approach ... References
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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 common complaint is... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
The differential diagnosis of sleep apnea may be arrived at by
utilizing both physiology and anatomy. Normal sleep
requires an unobstructed pathway from the nasopharynx to the lung and an
intact central nervous... Pictures
... READ EXCERPTS »
...
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 »
...
The anatomic location of the lesion in a gait disturbance depends on
the type of disturbance.
Spastic gait. In this type of lesion, both feet shuffle along the
floor in short steps ... Pictures
... READ EXCERPTS »
Going back to school is tough for families who have been enjoying a relaxed summertime schedule. Learn how to get sleep back on track for the whole...
Poor sleep is a fact of life for lots of tired Americans. What most never realize is that they may be contributing to their own restless nights. What...
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