Obstructive sleep apnoea

Question 1

What are the predisposing factors for sleep apnoea?

Answer 1

• obesity
• macroglossia: acromegaly, hypothyroidisim
• large tonsils
• marfans

Question 2

What is the presentation of sleep apnoea?

Answer 2

*Partner complains of excessive snoring and may report periods of apnoea

Question 3

What are the consequences of sleep apnoea?

Answer 3

• Daytime somnolence
• Compensated resp acidosis
• HTN

Question 4

What are the diagnostic investigations for sleep apnoea?

Answer 4

*Sleep studies

>monitor pulse oximetry at night ect.

Question 5

What is the management of sleep apnoea?

Answer 5

• Weight loss
• CPAP
• Intra-oral devices if CPAP not tolerated
• DVLA informed if it is causing excessive daytime sleepiness