A Case a Week: Sleep Disorders from the Cleveland Clinic by Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur

By Nancy Foldvary-Schaefer, Jyoti Krishna, Kumaraswamy Budur

Delivering a pragmatic method of the creation of sleep medication, this easy-to-use, concise quantity makes use of genuine sufferer situations from the Cleveland health center Sleep issues heart. a large spectrum of diagnoses are integrated to show the reader to the broad diversity of sleep-wake issues sufferer can event. Written in a concise layout designed to demonstrate the symptoms, diagnostic standards, workup and regimen therapy of sufferers offering to the sleep medical institution, this quantity serves as a pragmatic textual content excellent for the busy primary-care practitioner looking to enhance her wisdom of sleep-wake issues. at any time when attainable, tracings from diagnostic exams, images, and movies are supplied to reinforce medical displays and to help in attractiveness of abnormities pointed out within the sleep laboratory.

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Example text

Robert was otherwise healthy with no significant medical history. He denied using alcohol or tobacco, and he consumed one or two 8-oz cups of coffee each morning. He made sure to avoid all caffeinated foods and beverages after noon each day. He took aspirin and glucosamine-chondroitin supplements daily but denied over-the-counter or prescription sleep aids. His family history was notable for a mother with Alzheimer’s disease. He was happily married for 12 years and had 3 children, aged 12, 9, and 8 years.

Perhaps more than any other, sleep medicine is based on a multidisciplinary approach, routinely interfacing with neurology, pulmonology, psychiatry, psychology, internal medicine, pediatrics, otolaryngology, dentistry, and maxillofacial surgery. Each subspecialty brings its own perspective and adds its unique flavor to the evaluation and treatment of patients with sleep disorders. Over the past 4 decades, sleep medicine has made significant advances. Indeed, culminating years of research and consensus refinement, the American Academy of Sleep Medicine (AASM) has recently published the second edition of the International Classification of Sleep Disorders (ICSD-2), which describes epidemiology, pathophysiology, and diagnostic criteria of more than 80 sleep disorders.

This generally requires significant planning and cooperation between daytime and nighttime staff. The décor of the clinic and sleep laboratory should be child oriented, with age-appropriate distractions and entertainment. The child’s own teddy bear or familiar bed sheet may be invaluable items to bring along. It goes without saying that the technologist requires INTRODUCTION TO THE SLEEP LABORATORY 23 friendliness and foresight to allay the nervous child’s anxiety or to gain the cooperation of the very hyperactive toddler.

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