Wake Up Dad

Wake Up Dad

1. showed symptoms

2. KAMAL FEELING SLEEPY

   • differential diagnosis
     • diabetes
     • OBSTRUCTIVE SLEEP APNEA
       • sleep disorder that causes breathing to repeatedly stop and start during sleep
         • Moderate OSA- The sufferer experiences 15-30 episodes of interruptions in breathing in an hour.
         • Severe OSA- The sufferer experiences 30 or more interruptions in breathing in an hour.
         • the muscles in the back of the throat relax too much to allow normal breathing
         • Mild OSA- The sufferer experiences 5-14 episodes of interruptions in breathing in an hour.
       • causes
         • structural features that give rise to a narrowed airway.
         • old age
           • (natural or premature) brain injury
           • (temporary or permanent) decreased muscle
             • tone (drugs or alcohol) increased soft tissue
               • around the airway (sometimes due to obesity
         • central apnea
           • Parkinson's disease
             • Medical conditions that affect the brain stem
             • infection and stroke
             • Certain medications like narcotic painkiller
       • TREATMENT
         • PROGNOSIS
           • Untreated or unrecognized obstructive sleep apnea can lead to cognitive impairment as a result of sleeplessness
       • physiology of sleep
     • narcolepsy
     • Idiopathic hypersomnia
   • history taking for resp
     • ask about TB, cancer, cystic fibrosis and family history
   • investigations
     • sleep test
       • Polysomnogram
         • Measures the breathing and blood oxygen level. Some also may measure the heart rate or other information about the body.
     • O2 saturation
       • An estimate of your oxygen saturation can be made easily and painlessly with a clip that fits on your finger. This clip shines a light through one side of your finger; a detector measures the light that comes through the other side
   • snoring
     • snoring During sleep, the muscles of the throat relax, the tongue falls backward, and the throat becomes narrow and "floppy." These vibrations lead to the characteristic sound of snoring.
   • fatigue
     • Non-restorative sleep
       • Cognitive deficits; memory and intellectual impairment
       • Personality and mood changes
         • Sleep deprivation
       • Decreased vigilance
   • apnea

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