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Sleep Medicine Pearls

  • 3rd Edition - June 6, 2014
  • Latest edition
  • Authors: Richard B. Berry, Mary H. Wagner
  • Language: English

Sleep Medicine is a rapidly growing and changing field. Experienced sleep medicine clinicians and educators Richard B. Berry, MD and Mary H. Wagner, MD present the completely revis… Read more

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Description

Sleep Medicine is a rapidly growing and changing field. Experienced sleep medicine clinicians and educators Richard B. Berry, MD and Mary H. Wagner, MD present the completely revised, third edition of Sleep Medicine Pearls featuring 150 cases that review key elements in the evaluation and management of a wide variety of sleep disorders. The cases are preceded by short fundamentals chapters that present enough basic information so that a physician new to sleep medicine can start reading page 1 and quickly learn the essential information needed to care for patients with sleep disorders. A concise, practical format makes this an ideal resource for sleep medicine physicians in active practice, sleep fellows learning sleep medicine, and physicians studying for the sleep boards.

Key features

  • Zero in on the practical, "case-based" information you need to effectively interpret sleep studies (polysomnography, home sleep testing, multiple sleep latency testing), sleep logs, and actigraphy
  • Get clear, visual guidance with numerous figures and sleep tracings illustrating important concepts that teach the reader how to recognize important patterns needed to diagnose sleep disorders
  • Confer on the go with short, templated chapters—ideal for use by busy physicians. A combination of brief didactic material followed by case-based examples illustrates major points

Readership

Chest Physicians, Sleep Medicine Specialists, ENT Physicians, Primary Care Physicians, Neurologists, Psychiatrists

Table of contents

Fundamentals of Sleep Medicine 1: Sleep Stages and Electroencephalographic Patterns

1. A 30-year-old man taking a hypnotic nightly

2. A 30-year-old man with insomnia

Fundamentals of Sleep Medicine 2: Electroencephalographic Lead Placement

3. A 50-year-old man with insomnia

Fundamentals of Sleep Medicine 3: Eye Movement Monitoring

Fundamentals of Sleep Medicine 4: Eye Movement Patterns

4. A 20-year-old man with excessive daytime sleepiness

Fundamentals of Sleep Medicine 5: Chin (Submental) Electromyography

5. A 40-year-old man experiencing difficulty falling asleep

6. A 30-year-old woman having trouble falling asleep

7. A 30-year-old man having difficulty staying awake during the day

8. A 35-year-old woman with insomnia

9. A 25-year-old man with a history of sleep-walking

10. A 20-year-old man with daytime sleepiness

11. A 40-year-old man with a history of snoring and daytime sleepiness

12. A 34-year-old man with sleep disturbance

13. A 22-year-old woman with frequent awakenings during sleep secondary to chronic pain

14. A 40-year-old man being treated for depression

Fundamentals of Sleep Medicine 6: Additional Sleep Staging Rules

15. A 30-year-old man with severe snoring and occasional breathing lapses

16. A 35-year-old woman experiencing uncontrollable episodes of sleep

Fundamentals of Sleep Medicine 7: Sleep Architecture Definitions

17. A 23-year-old man with difficulty sleeping

18. A 25-year-old man with daytime sleepiness and fatigue

Fundamentals of Sleep Medicine 8: Polysomnography

19. A 30-year-old man having difficulty staying awake during the day

20. A 25-year-old man complaining of excessive daytime sleepiness

21. A 30-year-old man with loud snoring

22. A 40-year-old man with complaints of snoring

23. Two patients with recording artifacts

24. A 29-year-old man struggling with daytime sleepiness

Fundamentals of Sleep Medicine 9: Multiple Sleep Latency Test and Maintenance of Wakefulness Test

25. A 25-year-old man with daytime sleepiness

Fundamentals of Sleep Medicine 10: Monitoring Respiration During Sleep

26. A 45-year-old man with possible sleep apnea

27. A 50-year-old man with possible central apnea

28. A 30-year-old man with heavy snoring

29. A 33-year-old man complaining of daytime sleepiness

Fundamentals of Sleep Medicine 11: Excessive Daytime Sleepiness

30. A 45-year-old man with a snoring problem

31. A 40-year-old woman with “mild” sleep apnea

Fundamentals of Sleep Medicine 12: Respiratory Arousals

32. A 30-year-old woman with severe fatigue

33. A 30-year-old man with heavy snoring and daytime sleepiness

34. A 45-year-old man with a distinct pattern of desaturation

Fundamentals of Sleep Medicine 13: Treatment of Obstructive Sleep Apnea

35. A 30-year-old man with weight loss and sleep apnea

Fundamentals of Sleep Medicine 14: Positive Airway Pressure Titration

36. A 55-year-old man with heavy nighttime snoring and daytime sleepiness

37. A 50-year-old man with problems during a CPAP titration

38. A patient refusing to accept treatment for obstructive sleep apnea

Fundamentals of Sleep Medicine 15: Positive Pressure Airway Treatment: Improving Acceptance & Adherence

40. A 55-year-old man with obstructive sleep apnea still sleepy on nasal CPAP

41. A 50-year-old man unable to sleep on CPAP due to mask leak and claustrophobia

42. A 55-year-old man having difficulty with CPAP because of nasal congestion

43. A 30-year-old man unable to tolerate nasal CPAP because of “too much pressure”

44. A 55-year-old man unable to use nasal CPAP due to intractable nasal congestion

45. A 45-year-old man with intolerance to nasal CPAP because of difficulty exhaling

46. A 60-year-old man with a suboptimal CPAP titration

47. A 55-year-old obese man with desaturation during a nasal CPAP trial

48. A 30-year-old woman with fatigue and mild daytime sleepiness

49. A 50-year-old man with a return of snoring 6 months after uvulopalatopharyngo-plasty

50. A 55-year-old man with severe daytime sleepiness and limited treatment options

51. A 40-year-old man with sleep apnea unable to tolerate nasal CPAP

52. A 45-year-old man still experiencing daytime sleepiness after uvulopalatopharyngo-plasty

53. A 50-year-old man needing objective confirmation of his ability to stay awake

54. A 45-year-old man falling asleep at the wheel while driving

55. A 30-year-old man with severe snoring

56. A 30-year-old choir singer with heavy snoring

57. A 50-year-old man with severe hypertension

58. A 55-year-old man with premature ventricular contractions during sleep

59. A 30-year-old pregnant woman with onset of snoring

60. A 45-year-old man with snoring and hypercapnia

61. A 55-year-old man with hypercapnic respiratory failure

62. A 57-year-old man with severe obstructive sleep apnea treated with oxygen

63. A 5-year-old child with behavior problems

64. A 6-year-old boy with large tonsils

65. A 20-year-old woman with daytime sleepiness since childhood

66. A 55-year-old man with chronic obstructive pulmonary disease and nocturnal desaturation

67. A 60-year-old man with leg swelling

68. A 55-year-old man with chronic obstructive pulmonary disease and severe pedal edema

69. A 60-year-old “pink puffer” with insomnia

70. A 52-year-old man with chronic obstructive pulmonary disease and pedal edema

71. A 35-year-old woman with asthma and poor sleep at night

Fundamentals of Sleep Medicine 16: Central Sleep Apnea

72. A 58-year-old man with daytime sleepiness

73. A 55-year-old man with central sleep apnea

74. A 70-year-old man with daytime sleepiness and pedal edema

75. A 60-year-old man with severe congestive heart failure and daytime sleepiness

76. A 60-year-old man with obstructive sleep apnea and numerous central apneas on CPAP

77. A 12-year-old boy with daytime CO2 retention

78. A 75-year-old man with a history of polio

Fundamentals of Sleep Medicine 17: The Restless Leg Syndrome and Periodic Leg Movements in Sleep

79. A 50-year-old man with snoring and leg kicks

80. A 56-year-old man with crawling sensations in his legs at bedtime

81. A 40-year-old man who kicks in his sleep

82. A 50-year-old man who kicks during sleep

83. A 72-year-old man with worsening symptoms during treatment for restless legs

84. A 58-year-old man with sleep apnea and leg jerks during sleep

Fundamentals of Sleep Medicine 18: Narcolepsy

85. A 30-year-old man with daytime sleepiness and episodes of weakness

86. A 23-year-old man with daytime sleepiness, but no symptoms of cataplexy

87. A 25-year-old man with narcolepsy who is still sleepy on medication

88. A 25-year-old man with frequent episodes of cataplexy

89. A 24-year-old man with narcolepsy who was irritable and lost weight on methylphenidate

90. A 35-year-old man with sleep apnea and a short REM latency

91. A 40-year-old man with sleep apnea and persistent daytime sleepiness

92. A 35-year-old man requesting stimulant medication

93. A 64-year-old man with daytime sleepiness since age 21
Fundamentals of Sleep Medicine 19: Parasomnias

94. A 20-year-old man with severe “nightmares”

95. A 25-year-old woman walking in her sleep

96. A 55-year-old man with violent dreams

97. A 50-year-old man with an interesting chin EMG

Fundamentals of Sleep Medicine 20: Monitoring for Nocturnal Seizures

98. A 55-year-old man with unusual movements during sleep

99. A 60-year-old man with a rhythmic EEG pattern during a CPAP titration

100. A 30-year-old man who got out of bed during sleep

Fundamentals of Sleep Medicine 21: Evaluation of Insomnia

101. A 30-year-old woman having difficulty falling asleep

102. A 30-year-old woman with insomnia

103. A 40-year-old man with difficulty falling asleep after the death of his brother

Fundamentals of Sleep Medicine 22: Circadian Sleep Disorders

104. A 40-year-old woman complaining of difficulty falling asleep

105. A 70-year-old man with early morning awakening

106. A 44-year-old man with jet lag

107. A 40-year-old woman with fibromyalgia

108. A 40-year-old woman with fatigue and disturbed sleep

109. A 45-year-old man with persistent insomnia while on treatment for depression

110. A 45-year-old man with hyperphagia and hypersomnia

111. A 50-year-old veteran of the Vietnam War with upsetting dreams

112. A 40-year-old woman with terrifying awakenings

Product details

  • Edition: 3
  • Latest edition
  • Published: September 18, 2014
  • Language: English

About the authors

RB

Richard B. Berry

Dr. Richard B. Berry is a professor of medicine at the University of Florida in Gainesville. He has been honored with the American Academy of Sleep Medicine awards for Excellence in Education (2010) and Distinguished Service to the Field of Sleep Medicine (2020). Dr. Berry is a fellow of the American Academy of Sleep Medicine.

Affiliations and expertise
Professor of Medicine, University of Florida in Gainesville; Fellow of American Academy of Sleep Medicine, USA

MW

Mary H. Wagner

Dr. Mary H. Wagner is Director of the Pediatric Sleep Program at UF Health Sleep Disorders Center at Magnolia Parke, while also serving as Professor of Pediatrics in the Pediatric Pulmonary Division at the University of Florida (UF). She is board certified in Sleep Medicine, Pediatric Pulmonary and Pediatrics, and also serves as Director of the Pediatric Pulmonary Center Training Grant. Dr. Wagner received her MD from UF, where she also completed postgraduate training in Pediatrics and Pediatric Pulmonology. Before joining the faculty at UF she was Assistant Professor of Pediatrics at the Johns Hopkins Hospital in Baltimore, MD. Dr. Wagner brings over 20 years of experience to the Pediatric Sleep Clinic at Magnolia Parke, where the medical team helps patients with a multidisciplinary approach including nutrition, social work, respiratory therapy, nursing and clinical psychology.
Affiliations and expertise
Director, Pediatric Sleep Program, University of Florida Health Sleep Disorders Center; Professor of Pediatrics, Pediatric Pulmonary Division, University of Florida, Gainesville, USA

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