A 32-year-old morbidly obese male complains of excessive fatigue,snoring,and awakening in the middle of the night,which prevents restorative sleep.He is sluggish during the day due to the lack of sleep and feels like he is going "fall asleep at the wheel" when driving to work.Occupation: dishwasher.Medical history includes hypertension and type 2 diabetes.Current medications include ACE inhibitor and metformin.Denies use of alcohol,tobacco,or drugs.On physical examination,the patient is afebrile,pulse 88,resps 20/min,BP 178/95.BMI is 45.These are signs and symptoms of:

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Quizplus · Accepted Answer

The patient's symptoms of excessive fatigue, snoring, and waking up in the middle of the night are indicative of obstructive sleep apnea. The patient's obesity, hypertension, and type 2 diabetes also increase the likelihood of this diagnosis. Primary insomnia and heart failure are less likely to be the cause of these symptoms, although heart failure may be a comorbidity.

A 32-Year-Old Morbidly Obese Male Complains of Excessive Fatigue,snoring,and Awakening