Medical History & ysical ExaminationPhysical Examination

 

Important information to capture on Examination

Chief Complaint: 

Chronic Fatigue, Load Snoring, Restless sleep with Frequent Awakening - what duration?

History of Present Illness: 

Difficulty maintaing sleep with frequent awakenings

Load snoring

Witnessed apnea

Early morning headaches

Daytime somnolence

Excessive body movements during sleep

Restless Legs

Previously diagnosed with Sleep Apnea

Non compliance on Cpap. ( dates, DME company, compliance report helpful)

Medical History:

Congestive Heart Failure

Atrial Fibrillation

Coronary Artery Disease

Hypertension

Stroke

Obesity

Diabetes

 

Examination:

BMI

Neck Size (helpful)

Uvula size

Mallampati Index

Testing:

Epworth score

AHI

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