What should be included in the physical exam for insomnia?

Updated: Sep 11, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Physical examination may offer clues to underlying medical disorders predisposing to insomnia. [1] Specific recommendations include the following:

  • History suggestive of sleep apnea: Careful head and neck examination

  • Symptoms of restless legs syndrome or periodic limb movement disorder or any other neurologic disorder: Careful neurologic examination

  • Daytime symptoms consistent with a medical cause of insomnia: Careful examination of the affected organ system (eg, lungs in chronic obstructive pulmonary disease)

See Clinical Presentation for more detail.


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