Re: dDx case study

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Posted by Dr. Wexler on March 07, 1998 at 22:10:48:

In Reply to: Re: dDx case study posted by kuchipudi on March 06, 1998 at 21:38:12:

I like the inclusion of non-restorative sleep due
to alpha intrusion (fibromyalgia, chronic pain).
Yes, certainly a better history is needed -- but
for now the problem is dDx in general.
dDx includes:
PLMD
UARS
OSA/H
Sleep-related GE reflux
Sleep-related laryngospasm (includes stridor)
Sleep-choking (generally considered psychogenic)
sleep-related asthma
fibromyalgia/chronic pain -> restlessness, fatigue
depression/anxiety -> awakenings
also think about drug effects, alcohol

W/U on this one might include PSG with
Pes & pH probe, urine drug/EtoH screen,
psychometrics, careful upper airway exam
(fiberoptic scope) and PFTs at some point.

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