13th January 2024

Clinical Examination

When examining the patient, obesity (with a large neck and waist) is often the primarily clinical finding that may highlight an increased risk of obstructive apnoeas.
Patients can have a crowded oropharynx (macroglossia, large tonsils or uvula), small jaws or narrow or high-arched palates.
It may be incidentally noticed that patients exhibit significant hypoxaemia while asleep in hospital.
Patients may exhibit the signs and symptoms of other diseases that predispose them to sleep apnoeas:
- Signs of heart failure
- Stroke
- Concurrent atrial fibrillation
- Signs of chronic lung disease.
Also, look if the patient has developed complications of sleep apnoea, such as hypertension, erectile dysfunction, mood disorders or ischaemic heart disease.

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