Critical Assessment Issues in Disordered Sleep and Wakefulness
The purpose of this paper is to introduce internists and other medical practitioners to critical issues in the assessment of disturbed sleep and wakefulness. The emphasis will be on listening, clinical observation, a careful history, and attention to epidemiology as necessary elements of diagnosis so that the polysomnogram and other laboratory findings are put into their proper context. Physicians need to be mindful that biological and psychosocial factors play a role in causing and sustaining disordered sleep. This awareness will heighten their ability to recognize, treat, and properly refer patients with these afflictions.
KeywordsFatigue Depression Cocaine Caffeine Amphetamine
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