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Undifferentiated Presentations — Sleep disturbance

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Case 1 of 5Undifferentiated PresentationsSleep disturbance (e.g., obstructive sleep apnea, restless legs syndrome)

A 55-year-old man presents with 1 year of restless, non-restorative sleep and daytime fatigue. He falls asleep within minutes of lying down and has dozed off while watching television. He lives alone and lost his job 6 months ago; he feels stressed but denies low mood or loss of interest. He takes no medications, has no known allergies, and drinks 2 beers most evenings. BMI is 36 kg/m2, neck circumference is 43 cm (17 in), and Mallampati class is III; the remainder of the examination is normal. His STOP-Bang score is 6.

Heart rate78/min
Respiratory rate16/min
Temperature36.8 °C
O2 saturation98%, room air
Blood pressure140/90 mm Hg

Question 1 of 15

Which one of the following investigations is the most appropriate to confirm the diagnosis and guide treatment?

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