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13 Cards in this Set
- Front
- Back
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What are differentials for excessive sleepiness?
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Narcolepsy, Not sleeping enough, Apnea
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What are differentials for not being able to sleep?
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Medical (depression, anxiety), circadian rhythm disturbance, leg discomfort (restless leg)
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What are differentials for unusual movements during sleep?
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Night terrors, RBD, movement disorder, seizures
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What are key diagnostic criteria for narcolepsy?
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Hypersomnolence (stimulants), vivid dreams, episodic paralysis (cataplexy), fragmented sleep --> treat with GBH.
DECREASED HYPOCRETIN Younger people, 20's and 30's. The boundaries between REM and awake are NOT WELL MAINTAINED. |
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How many minutes of sleep latency indicates sleep deprivation?
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Less than 8 minutes!
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What is sleep dissociation?
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OVERLAP AMONG SLEEP STATES. normally the progression of sleep states (normal sleep architecture) is very set...however, in state dissociation there's problems with overlap of these distinct states.
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What is parasomnia?
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Undesirable motion, behavior, sensory phenomena occurring intermittently during sleep.
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Disorders of arousal?
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Continuum...lack of recall. Night terrors, sleepwalking. ~1-2% of adults.
Treat with reassurance, warning devices, BENZO's to consolidate sleep and prevent waking breakthroughs |
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REM Sleep Behavior disorder?
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OLDER MEN.
VIOLENT DREAM ENACTING. Kicking, screaming, punching. Increased tonic/phasic EMG in REM. YOU ARE NOT PARALYZED AS IS TYPICAL IN REM. NO EPILEPSY |
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What are factors for RBD?
(REM-Sleep Behavior disorder) |
PRIMARY: Narcolepsy, idiopathic, EPS (note resting tremors, etc), overlap with non-rem parasomnia.
SECONDARY: SSRI. Intoxication, withdrawal TREAT w/ BENZO's, which suppresses behaviors; atonia not restored. |
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What are diagnostic criteria for Restless leg syndrome
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Urge to move. Onset at rest. Relieved with movement. Symptoms worse at night.
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What's the difference between Restless Leg and Period limb movements?
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Restless leg is volitional. Period legs are involuntary movements during sleep.
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What are factors for RLS?
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Primary...familial when young. If onset is later, look at medical causes...renal problems, iron insufficiency.
SSRI use, other problems |
