A 40-year-old female with a BMI of 32 complains of daytime sleepiness, fatigue, and loud snoring noticed by her partner. What is the likely diagnosis and what are the next steps?
This patient's symptoms suggest obstructive sleep apnea (OSA), a condition often associated with obesity. OSA is characterized by repeated episodes of upper airway obstruction during sleep, leading to disrupted sleep and daytime sleepiness. To confirm the diagnosis, a sleep study (polysomnography) should be ordered. If OSA is confirmed, treatments may include weight loss, use of a continuous positive airway pressure (CPAP) device, or sometimes surgery.