Insomnia physical examination: Difference between revisions

Insomnia Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Insomnia from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Non-Pharmacological Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Insomnia On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Insomnia :All Images :X'-'ray' 'X'-'rays :Ultrasound' 'Echo & Ultrasound :CT' 'CT Images :MRI' 'MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Insomnia
CDC on Insomnia
Insomnia in the news
Blogs on Insomnia
Directions to Hospitals Treating Insomnia
Risk calculators and risk factors for Insomnia

← Older edit Newer edit →

VisualWikitext

Revision as of 11:56, 29 June 2021

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Adnan Ezici, M.D [2]

Overview

Physical examination of patients with insomnia is usually normal. However, physical examination findings of the underlying or coexisting medical conditions might be found.

Physical Examination

Physical examination of patients with insomnia is usually normal. However, physical examination findings of the underlying or coexisting medical conditions might be found.^[1]

The presence of increased body mass index, waist circumference, neck circumference, and mallampati score on physical examination is highly suggestive of obstructive sleep apnea.

Appearance of the Patient

People with insomnia are generally well-appearing.
Patients may appear fatigued and irritable in some cases.

Vital Signs

Vital signs of patients with insomnia are usually within normal limits.

Skin

Skin examination of patients with insomnia is usually normal.

HEENT

HEENT examination of patients with insomnia is usually normal.

Neck

Neck examination of patients with insomnia is usually normal.

Lungs

Pulmonary examination of patients with insomnia is usually normal.

Heart

Cardiovascular examination of patients with insomnia is usually normal.

Abdomen

Abdominal examination of patients with insomnia is usually normal.

Back

Back examination of patients with insomnia is usually normal.

Genitourinary

Genitourinary examination of patients with insomnia is usually normal.

Neuromuscular

Neuromuscular examination of patients with insomnia is usually normal.

Extremities

Extremities examination of patients with insomnia is usually normal.

References

↑ Sutton EL (March 2021). "Insomnia". Ann Intern Med. 174 (3): ITC33–ITC48. doi:10.7326/AITC202103160. PMID 33683929 Check |pmid= value (help).

[pmid33683929-1] Sutton EL (March 2021). "Insomnia". Ann Intern Med. 174 (3): ITC33–ITC48. doi:10.7326/AITC202103160. PMID 33683929 Check |pmid= value (help).

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Insomnia}}
-{{CMG}}
+{{CMG}} ; {{AE}} {{Adnan Ezici}}
 ==Overview==
-Insomnia is a sleep disorder characterized by an inability to sleep and/or inability to remain asleep for a reasonable period. Insomniacs typically complain of being unable to close their eyes or "rest their mind" for more than a few minutes at a time. Both organic and nonorganic insomnia constitute a sleep disorder.[1][2].Insomnia is a medical term for a sleep disorder, in which a person have difficulty with falling asleep, staying asleep or feeling unfresh in the morning because of poor sleep[3]. Insomnia is one of the frequently reported complaints in adult population, it is reported that 30-40% of the adult population is the US have insomnia[4]. The DSM-V Diagnostic Criteria for Insomnia Disorder is, difficulty with sleep for at least three days per week for consecutive three months.
+Physical examination of patients with insomnia is usually normal. However, physical examination findings of the underlying or coexisting medical conditions might be found.
 ==Physical Examination==
+Physical examination of patients with insomnia is usually normal. However, physical examination findings of the underlying or coexisting medical conditions might be found.<ref name="pmid33683929">{{cite journal |vauthors=Sutton EL |title=Insomnia |journal=Ann Intern Med |volume=174 |issue=3 |pages=ITC33–ITC48 |date=March 2021 |pmid=33683929 |doi=10.7326/AITC202103160 |url=}}</ref>
+*The presence of increased body mass index, waist circumference, neck circumference, and mallampati score on physical examination is highly suggestive of [[obstructive sleep apnea]].
+===Appearance of the Patient===
+*People with insomnia are generally well-appearing.
+*Patients may appear fatigued and irritable in some cases.
+===Vital Signs===
+*Vital signs of patients with insomnia are usually within normal limits.
+===Skin===
+*Skin examination of patients with insomnia is usually normal.
+===HEENT===
+*HEENT examination of patients with insomnia is usually normal.
+===Neck===
+*Neck examination of patients with insomnia is usually normal.
+===Lungs===
+*Pulmonary examination of patients with insomnia is usually normal.
+===Heart===
+*Cardiovascular examination of patients with insomnia is usually normal.
+===Abdomen===
+*Abdominal examination of patients with insomnia is usually normal.
+===Back===
+*Back examination of patients with insomnia is usually normal.
+===Genitourinary===
+*Genitourinary examination of patients with insomnia is usually normal.
+===Neuromuscular===
+*Neuromuscular examination of patients with insomnia is usually normal.
+===Extremities===
+*Extremities examination of patients with insomnia is usually normal.
 ==References==
 {{Reflist|2}}