Sleep

The Southwest Journal of Pulmonary and Critical Care and Sleep publishes articles related to those who treat sleep disorders in sleep medicine from a variety of primary backgrounds, including pulmonology, neurology, psychiatry, psychology, otolaryngology, and dentistry. Manuscripts may be either basic or clinical original investigations or review articles. Potential authors of review articles are encouraged to contact the editors before submission, however, unsolicited review articles will be considered.

Rick Robbins, M.D. Rick Robbins, M.D.

July 2022 Sleep Case of the Month: A Sleepy Scout

Christine S. Fukui MD

Honolulu, HI USA

 

History of Present Illness:

A 25-year-old African American man complaining of excessive daytime somnolence. He was a US Army Ranger scout who received a traumatic brain injury (TBI) from an improvised explosive device attack in Afghanistan which resulted in a loss of about ¼ of his visual field. He said he slept well at night and there was no history of snoring. There was no history of any parasomnias.

PMH, SH, FH:

Other than the traumatic brain injury there was no significant PMH. His most recent brain scan showed only the remnants of his brain injury which resulted in an intracerebral hemorrhage which was managed conservatively. He was single. He did not smoke and had only moderate alcohol intake. There was no significant FH of sleep apnea.

Physical Examination:

Other than the visual field loss his physical examination was unremarkable.

What should be done next? (Click on the correct answer to be directed to the second of five pages)

  1. Brain MRI
  2. Electroencephalogram (EEG)
  3. PSG (polysomnography) sleep study
  4. Repeat CT of head
  5. All of the above
Cite as: Fukui CS. July 2022 Sleep Case of the Month: A Sleepy Scout. Southwest J Pulm Crit Care Sleep 2022;25(1):1-3. doi: https://doi.org/10.13175/swjpccs027-22 PDF
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Rick Robbins, M.D. Rick Robbins, M.D.

Sleep Board Review Questions: Medications and Their Adverse Effects

Rohit Budhiraja, MD1,2

1 Department of Medicine, Southern Arizona Veterans Affairs Health Care System (SAVAHCS), Tucson, AZ 85723, USA.

2 Department of Medicine, Section of Pulmonary, Allergy, Critical Care and Sleep Medicine, The University of Arizona, Tucson, AZ, 85724, USA.

 

Question: Which of the following medications is not matched with a characteristic side effect?

  1. Pramipexole -Pathological gambling
  2. Eszopiclone - Unpleasant taste
  3. Modafinil - Headache
  4. Mirtazapine - Weight Loss

Reference as: Budhiraja R. Sleep board review questions: medications and their adverse effects. Southwest J Pulm Crit Care 2012:5;297-9. PDF

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