Thank you very much for referring Michael along for investigation of likely sleep apnoea. He certainly does have a high pre-test probability of this condition given his snoring, witnessed apnoeas and occasional episodes of nocturnal choking. He believes that he sleeps well from about 9.00pm to 5.00am and wakes unrefreshed but he copes very well during his long days as a builder’s labourer. He does however have significant excessive daytime sleepiness in passive situations only with an Epworth Sleepiness Score of 8/24. Of note, he is not drowsy whilst driving, nor does he hold a heavy vehicle licence.
On examination, he has only mild bi-nasal obstruction and he has a severely crowded oropharynx with a Mallampati class 4 airway and an enlarged
On examination, he has only mild bi-nasal obstruction and he has a severely crowded oropharynx with a Mallampati class 4 airway and an enlarged