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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 than 60% of patients with ... 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
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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 anoxia and the
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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... 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. This common... 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 prevalence of... Approach. ... History ... Physical examination. ... Testing ... Diagnostic assessment
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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. This common complaint is experienced... 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.... 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,... Pictures
... READ EXCERPTS »
...
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... Pictures
... READ EXCERPTS »
As people age, there are lots of changes. Some are welcome, like retirement and a chance to pursue new activities. But then there are some changes...
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...
Sleeping well can refresh your body and mind, but it's tough to do when you're in pain. Not only is the pain itself a problem, but sometimes...
Millions of Americans don't sleep well. And many of them don't do anything about it. But the answer is as close as the telephone. Experts...