CAP
Cyclic alternating pattern
IEA
Interictal epileptiform activity
TSP
Total sleep period
SAH
Sleep apnea-
... [Show More] hypopnea
SPT
Sleep period time
Sleep Disorders
Obstructive/ Central sleep apnea, narcolepsy, Circadian rhythm disorder, RLS, PLMS, Parasomnias, and Insomnias
Respiratory Disorders
Chronic obstructive pulmonary disease, Cystic fibrosis, restrictive lung disease, and asthma
Neuromuscular disorders
Multiple sclerosis, amyotrophic lateral sclerosis, myasthenia gravis, poliomyelitis, and myotonic dystrophy
Gastrointestinal disorders
Gastroesophageal reflux disease, functional bowl disorders
endocrine disorders
hypothyroidism and hyperthyroidism, acromegaly, cushing syndrome, Addisons Disease, diabetes mellitus, and diabetes insipidus.
rheumatologic disorders
Pain syndromes, and fibromyalgia
Kidney, urinary disorders
end stage renal, and urinary frequencies
Infectious disease
HIV/ AIDS, Lyme disease, human african trypanosomiases
Cardio disease
Heart block, dysrthmias, CHF, Coronary artery disease, and Atrial-fib
History risk factors for sleep disorders
snoring, apnea spells, sleep walking, nightmares, excessive movement during sleep, sleep during the day, not feeling rested in the morning, morning headaches, decreased concentration, and psychiatrics disorder such has anxiety or depression
Physical exam risk factors
Hypertension, Obesity diabetes, CHF, Atrial- Fib, retrognathia ( underdeveloped chin )
Primary insomnia
Is difficulty falling asleep, staying asleep, a combination of both or having non refreshing sleep for atleast 1 month. Sleep may occur after stressful episode. PSG shows increase in alpha and beta waves during sleep. Some people may appear lethargic ( sluggish ) when having Insomnia you may have INCREASE in stage 1 and DECREASE in Stage 2 and 3. Stress related disorders my cause insomnia like muscle tension, headaches, stress, and metabolic rate. Insomnia is a common problem, occurring In 35% adults. Insomnia maybe caused due to a psychiatric disorder, heart problem, gastro problem, or urinary problems. Insomnia is common with Depression and bipolar
Chronic Insomnia-
Occurs over prolonged periods of time and has several forms
Chronic Insomnia- Psychological
anxiety may cause inability to sleep. PSG shows increased sleep wakefulness, increased S.L, and Decreased S.E
Chronic Insomnia- Sleep state misperception-
Shows normal sleep, Pt reports reduced or no sleep and often does not believe lab reports
Chronic Insomnia- Hypnotic dependent sleep disorder
Pt develops a tolerance to hypnotics, requiring increased doses, he is unable to fall asleep without the meds. With drawl can cause insomnia, nervousness, and agitation
Chronic Insomnia- fatal familial
fatal neurologic disorder were the patient is unable to fall asleep. Absence of SWS.
Hypersomnia
increased sleepiness and prolonged sleep ( 8-12 hours ) and Daytime sleepiness on a daily bases for atleast a month. May have hard time awakening and having a hard time working or having a social life. Naps may last an hour or so. this may occur during slower times in life such as driving or watching TV. PSG shows normal to prolonged sleep.
Hypersomnia on a MSLT shows-
Sleepiness through the daytime and with [Show Less]