Understanding Sleep Disorders: Part 2
After telling the patient you suspect he has insomnia and sleep disordered breathing, you administer a physical examination, which produces the following values:
- Lungs—clear to auscultation
- Cardiovascular system—regular rate and rhythm; normal S1 and S2; no murmurs, rubs, or gallops
- Neck—no carotid bruits and no masses or thyroid gland enlargement
- Tonsil size—2 of 4
- High arched palate—no
- Modified Mallampati/Friedman position—3+/4
- Nasal septal deviation—none seen overtly
- Nasal alae—mildly incompetent, right > left
- Neck size—17 inches
Based on these findings, he asks you how likely it is he has sleep disordered breathing. What do you tell him?
Email your responses to firstname.lastname@example.org, and be sure to tune into next week’s podcast with Dr Joseph Diamond for the answer!
Read Case Part 1 here: https://www.consultant360.com/exclusive/neurology/sleep-medicine/understanding-sleep-disorders-part-1
Listen to the answer to Case Part 1 here: https://www.consultant360.com/podcast/neurology/sleep-medicine/dr-joseph-diamond-diagnosing-multiple-sleep-conditions.