Respiratory System


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F4.jpg"}},{"insert":"\n\nIt has been a slow day in the medical clinic. So far, you\u0027ve treated a series of coughs and colds interspersed with regular checkups of patients with diabetes, hypertension, and dyslipidemia.\n\nYour next patient walks in: a rather stocky man who looks exhausted. He slumps down in the chair; you introduce yourself and ask how you can help him. He runs his palm over his face and then begins: \n\n\u0022Nice to meet you, Doctor. My name is Joss and I\u0027m 62. My wife dragged me here. She says that I snore really loud every night and that she can\u0027t sleep. It was either sleeping on the couch or coming here, so here I am.\u0022\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F6.jpg"}},{"insert":"\n\n\u0022How long has this been going on?\u0022 you ask.\n\n\u0022Well, I\u0027ve been snoring for many years, doctor, but according to my wife, it\u0027s only this year that it really got out of hand,\u0022 he responds.\n\n\u0022Is anything else troubling you?\u0022 you continue.\n\nJosh nods. \u0022What really bothers me is that I can\u0027t seem to keep my eyes open during the day, even when talking to someone.\u0022\n"}]}


{"ops":[{"insert":"You ask Josh about morning headaches, difficulty in falling asleep, waking up multiple times during sleep, poor concentration, and mood changes. He thinks for a while, runs his palm over his face once more and says,\n \n\u0022Honestly doctor, the headaches and poor concentration are there all right, but about waking up in the night, I can\u0027t really tell. I could ask my wife about that though. She\u0027s right outside.\u0022\n"}]}


{"ops":[{"insert":"How do you respond?\n"}]}
1. "No, that won't be necessary"
2. "Yes, please ask her in"