posted by Anonymous .
He has, on physical examination, many erythematous actinic keratosis still present on the forearm. They are flat, but these are much less than before. He has, in addition, on his buttocks, 2 lichenified areas of erythema bilaterally on the buttocks where he sits.
What is your question?
1. Review of the sleep questionnaire indicates that the patient had a trend oximetry done 2 years ago and was placed on 9 cm of CPAP. The patient notes that he has not seen much change with the use of it. His father has a history of the same. He still continues to have daytime fatigue and sleepiness and some shortness of breath. There is also a history of seizure disorder diagnosed in the fall of 1997.