Obstructive Sleep Apnoea

Question 1

Predisposing factors for sleep apnoea?

Answer 1

Obesity, macroglossia( acromegaly, hypothyroidism, amyloidosis), large tonsil and marfans
Alcohol, smoking, male middle age

Question 2

Features?

Answer 2

Episodes of apnoea, snoring, morning headache, waking up unrefreshed, daytime sleepiness, concentration problems, reduced oxygen saturation during sleep

Question 3

Severe cases of sleep apnoea can cause?

Answer 3

Hypertension, heart failure, increased risk of MI and stroke, compensated respiratory acidosis

Question 4

How to assess symptoms?

Answer 4

Epworth sleepiness scale

Question 5

Diagnostic test for sleep apnoea?

Answer 5

Polysomnography

Question 6

Management?

Answer 6

Correct reversible risk factors, CPAP or intra oral devices if CPAP not tolerated
DVLA should be informed. Uvulopalatopharyngoplasty