Sleep apnea physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Generally, the most common signs of sleep apnea are a large waist/neck circumference and facial deformities. If sleep apnea is left untreated, signs of for pulmonale, hypoxemia, and pulmonary hypertension are evident. | Generally, the most common signs of sleep apnea are a large waist/neck circumference and facial deformities. If sleep apnea is left untreated, signs of for pulmonale, stroke, hypoxemia, and pulmonary hypertension are evident. | ||
==Sleep Apnea Physical Examination== | ==Sleep Apnea Physical Examination== | ||
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===General appearance=== | ===General appearance=== | ||
*Lethargy | *Lethargy | ||
*Confusion | |||
*Irritable | |||
*Sitting up and leaning forward to improve diaphragmatic breathing | *Sitting up and leaning forward to improve diaphragmatic breathing | ||
*Children may not grow at a normal rate | *Children may not grow at a normal rate | ||
Revision as of 13:55, 7 July 2015
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Diagnosis |
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Treatment |
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Case Studies |
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Sleep apnea physical examination On the Web |
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American Roentgen Ray Society Images of Sleep apnea physical examination |
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Risk calculators and risk factors for Sleep apnea physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.
Overview
Generally, the most common signs of sleep apnea are a large waist/neck circumference and facial deformities. If sleep apnea is left untreated, signs of for pulmonale, stroke, hypoxemia, and pulmonary hypertension are evident.
Sleep Apnea Physical Examination
General appearance
- Lethargy
- Confusion
- Irritable
- Sitting up and leaning forward to improve diaphragmatic breathing
- Children may not grow at a normal rate
Vital Signs
Vital signs are generally within normal limit, but patients with severe disease may have the following vital signs:
- Decreased SPO2
- Tachyapnea
- Tachycardia
- Hypertension
Chest
- Wheeze
- Pleural effusion
Heart
- Right ventricular hypertrophy (RVH)
- Heart murmurs
Abdomen
Skin
ENT
- Large neck circumference
- Particularly prominent among men who have a collar size greater than 17 inches and women who have a collar size greater than 16 inches[1]
- Retrognathia
- Micrognathia
- Lateral peritonsillar narrowing
- Macroglossia
- Tonsillar hypertrophy
- Elongated or enlarged uvula
- A high arched or narrow palate
- Nasal septal deviation
- Nasal polyps
- Increased jugular venous pressure
- Prominent neck and facial veins
Extremeties
- Digital clubbing
- Pedal edema