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AJGP Clinical Challenge April 2019: Respiratory tract and sleep disorders

Speciality Classification
General Practice ( GP ) / Family Medicine
2 hr

To provide guidance for the general practitioner in the management of respiratory tract and sleep disorders.

Relevance to General Practice

Sleep disorders are a common presentation in western society. It is estimated that 11.3% of adults have insomnia disorder, and approximately a third have insomnia symptoms but do not meet full diagnostic criteria. Insomnia is more common in women and young adults. Obstructive sleep apnoea (OSA) is another common sleep-related condition, affecting up to 9% of women and 24% of men. Other figures suggest that prevalence may be up to 38% in some populations. Another form of airflow blockage encountered by general practitioners is airway foreign bodies (AFB), with 80% of cases occurring in children under the age of three years. Almost half of patients who present with an AFB are asymptomatic, reinforcing the importance of history in evaluating patients for AFB. Difficult-to-treat and severe asthma are also common respiratory presentations, occurring in 15% and 3–10% of people with asthma, respectively.
Reference on file.

Learning outcomes
  • Outline key diagnostic criteria and current treatment approaches for insomnia.
  • List the main factors that should be assessed when considering whether a patient has obstructive sleep apnoea.
  • Discuss recent developments and future directions in adult obstructive sleep apnoea management.
  • Identify challenges in managing patients with difficult-to-treat and severe asthma in primary care.
  • Describe the appropriate clinical work-up and tertiary referral for paediatric airway foreign bodies in general practice.
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Ways in which health can be optimised and maintained are communicated to patients, family members and carers

    D2. Applied professional knowledge and skills

    • Rational options for investigations are offered

    D3. Population health and the context of general practice

    • Barriers to equitable access to quality care are addressed

    D4. Professional and ethical role

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Adult health
    • Children and young people health
    AJGP Clinical Challenge April 2019: Respiratory tract and sleep disorders
    Provider Type
    Education Provider
    2 hr
    Start Date
    End Date
    CPD Points
    4 cpd