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Evaluation of the Sleepy Patient: Differential Diagnosis.
Sleep Med Clin. 2020 Jun; 15(2):155-166.SM

Abstract

Excessive daytime sleepiness is defined as the inability to maintain wakefulness during waking hours, resulting in unintended lapses into sleep. It is important to distinguish sleepiness from fatigue. The evaluation of a sleep patient begins with a careful clinical assessment that includes a detailed sleep history, medical and psychiatric history, a review of medications, as well as a social and family history. Physical examination should include a general medical examination with careful attention to the upper airway and the neurologic examination. Appropriate objective testing with a polysomnogram and a multiple sleep latency test if needed will help confirm the diagnosis and direct the appropriate treatment plan.

Authors+Show Affiliations

Sleep-Wake Disorders Center, Department of Neurology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210(th) Street, Bronx, NY 10467, USA. Electronic address: rmondere@montefiore.org.Sleep-Wake Disorders Center, Department of Neurology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210(th) Street, Bronx, NY 10467, USA.Sleep-Wake Disorders Center, Department of Neurology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210(th) Street, Bronx, NY 10467, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32386691

Citation

Monderer, Renee, et al. "Evaluation of the Sleepy Patient: Differential Diagnosis." Sleep Medicine Clinics, vol. 15, no. 2, 2020, pp. 155-166.
Monderer R, Ahmed IM, Thorpy M. Evaluation of the Sleepy Patient: Differential Diagnosis. Sleep Med Clin. 2020;15(2):155-166.
Monderer, R., Ahmed, I. M., & Thorpy, M. (2020). Evaluation of the Sleepy Patient: Differential Diagnosis. Sleep Medicine Clinics, 15(2), 155-166. https://doi.org/10.1016/j.jsmc.2020.02.004
Monderer R, Ahmed IM, Thorpy M. Evaluation of the Sleepy Patient: Differential Diagnosis. Sleep Med Clin. 2020;15(2):155-166. PubMed PMID: 32386691.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of the Sleepy Patient: Differential Diagnosis. AU - Monderer,Renee, AU - Ahmed,Imran M, AU - Thorpy,Michael, PY - 2020/5/11/entrez PY - 2020/5/11/pubmed PY - 2020/10/31/medline KW - Evaluation KW - Excessive daytime sleepiness KW - Hypersomnolence KW - Sleep disorders SP - 155 EP - 166 JF - Sleep medicine clinics JO - Sleep Med Clin VL - 15 IS - 2 N2 - Excessive daytime sleepiness is defined as the inability to maintain wakefulness during waking hours, resulting in unintended lapses into sleep. It is important to distinguish sleepiness from fatigue. The evaluation of a sleep patient begins with a careful clinical assessment that includes a detailed sleep history, medical and psychiatric history, a review of medications, as well as a social and family history. Physical examination should include a general medical examination with careful attention to the upper airway and the neurologic examination. Appropriate objective testing with a polysomnogram and a multiple sleep latency test if needed will help confirm the diagnosis and direct the appropriate treatment plan. SN - 1556-4088 UR - https://cancerres.unboundmedicine.com/medline/citation/32386691/Evaluation_of_the_Sleepy_Patient:_Differential_Diagnosis_ DB - PRIME DP - Unbound Medicine ER -