Sleepy

Respiratory System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged man has presented with chronic fatigue and excessive daytime sleepiness, in conjunction with excessive snoring.\n\nExamination shows the presence of centripetal obesity, a significant neck circumference, and an elongated uvula which tends to obstruct the pharynx.\n\nWhen considered together, this constellation of clinical findings is strongly suggestive of obstructive sleep apnea (OSA); snoring is in particular a cardinal feature of the disease.\n\nHowever, it is important to appreciate that the snoring may just be a confounding symptom, and that this presentation might be due to another etiology - particularly hypothyroidism, or anemia.\n\nHowever, his full blood count is unremarkable, while a thyroid profile turns out to be norma"}]}

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