| Primary Complaint – Suggested Study |
Patient has one or more of the following indications |
Most common diagnosis |
|
EXCESSIVE SLEEPINESS = Diagnostic Study
(symptoms are general, need to re-evaluate after diagnostic results available)
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- No energy/ feel worn out, depressed, irritable or overwhelmed
- Trouble remembering things/ worry about memory/ feel less efficient than they should be
- Dozed off in meetings, at work, during movies or while spending time with others
- While driving, have run off onto the berm or have "driven on autopilot"
- Trouble concentrating or have been suspected to have attention deficit disorder
- Still tired or groggy when they get up from sleep
|
Unspecified Sleep Apnea, Hypersomnia NOS, Narcolepsy without cataplexy, Idiopathic Hypersomnia
|
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SLEEP APNEA = Split Night Study
(most common symptoms occurring, may be able to achieve diagnostic/therapeutic study in one night)
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- Awakened with one or more of the following: snores, snorts, choking, gasping, shortness of breath, chest pains, palpitations, anxiety, dry throat, nasal congestion or headaches
- Night sweats, restless sleep, falling out of bed, bedwetting or awakenings to urinate
- Others say that the person snores or stops breathing
- Muscle stiffness/ soreness or a diagnosis of fibromyalgia
- One or more of the following apply:
- Person is overweight
- Has high blood pressure
- History of heart trouble
- Is post-menopausal
- One or more of the person's blood relatives suffers from:
- Heavy snoring
- Sleepiness
- Diagnosed sleep apnea
- The person has scoliosis, muscle weakness, neuromuscular or chronic lung disease
|
Unspecified Sleep Apnea, Hypersomnia NOS, Narcolepsy without cataplexy, Idiopathic Hypersomnia
|
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NARCOLEPSY/HYPERSOMNIA = MSLT Study
(preceding night study will determine if other problems occurring)
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- Sees or hears things when they're drowsy, seems to begin dreaming before they're fully asleep
- Experienced sudden muscle weakness with laughter, anger, pleasurable events or other emotions
- Often dreams right away when they doze off or seem to dream intensely while they sleep
- Experienced paralysis or inability to move when awakening or when dozing off
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Narcolepsy, Transient/Persistent Hypersomnia, Sleep Paralysis – recurrent isolated
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GERD = Diagnostic Study
(determine if sleep apnea is inducing or aggravating GE reflux)
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- Awakenings with a sour or bitter taste, vomiting, wheezing, chest pain, heartburn, choking or dry cough
- Diagnosed with chronic esophagitis or Barrett's esophagus
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Obstructive Sleep Apnea, Unspecified Sleep Apnea, Organic Sleep Apnea NOS
|
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INSOMNIA = Diagnostic Study
(determine if other problems occurring)
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- Often can't fall asleep for some time
- Symptoms of Restless Legs Syndrome: their legs feel "antsy"; they feel like they must keep moving their legs to get relief
- Wakes up frequently, with or without any associated symptoms
- Often wakes up too early and has trouble returning to sleep
- Sleep is light, fragmented or un-refreshing
- Frequently taken something to help them sleep
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Transient/Persistent Insomnia, Insomnia NOS, Organic Insomnia NOS/NEC, Insomnia with Sleep Apnea NOS, Periodic Limb Movement Disorder, Sleep-related Leg Cramps
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