Posted by surendra nevatia on March 24, 2003 at 18:45:25:

In Reply to: Assessing Roadworthiness posted by Krishna on March 23, 2003 at 12:41:59:

Diff.DX for initial evaluation:
1.Obst.sleep disordered breathing.
2.plm.
3.Alveolar hypoventilation syndrome with obesity.
4.Insufficient sleep syndrome.
5.Idiopathic hypersomnia.
6.Adjustment sleep disorder.
7.Post-traumatic hypersomnia.
8.Post-traumatic seizure.
9.Chronic fatigue syndrome.
CURRENT SITUATION:
1.Adjustment sleep disorder.
2.Obst.slp.disordered breathing-undertreated.
Management:
1.Safety issue.
2.Sleep log and Actigraphy.
3.Psych.eval.
4.Cont.CPAP.
5.Retitrate CPAP.
6.MWT.
7.No narcotics,sedative,hypnotics.
8.Educate pt.,family and primary M.D.
9.Follow-up.
10.Speak to motor vehical dept.

Adjustment sleep disorder

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