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Office-Based Evaluation of Sleep Disordered Patients 

Office-Based Evaluation of Sleep Disordered Patients
Chapter:
Office-Based Evaluation of Sleep Disordered Patients
Author(s):

Karl Doghramji

DOI:
10.1093/med/9780190929671.003.0006
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date: 01 August 2021

Sleep-related complaints are commonly encountered in the context of ambulatory care, including insomnia, excessive sleepiness, and parasomnias. This chapter outlines a systematic approach to the evaluation of these complaints, with the goal of uncovering conditions that may be associated with these complaints and guiding the course of clinical care. The patient’s past medical, psychiatric, and surgical history; medications; substance use; family history; and social and occupational history, as well as the specific symptoms, should be examined. A physical examination and the use of rating scales can be helpful. When specific conditions can thus be identified, treatment can be tailored to those conditions, thus optimizing clinical outcomes.

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