😴 Chapter 31 · Sleep Medicine

Sleep regulation (two-process model), developmental changes in sleep, behavioral insomnia of childhood (sleep-onset association, limit-setting), obstructive sleep apnea (OSA), parasomnias (sleep terrors, sleepwalking, nightmares), restless legs syndrome/PLMD, narcolepsy, delayed sleep-wake phase disorder, and sleep health supervision. Nelson Textbook of Pediatrics 22nd Edition.

🌐 paeds.online — Pediatric Learning Platform

📝 30 Clinical Scenarios — Sleep Medicine

📇 High‑Yield Review Cards — Sleep Disorders

🩺 Clinical Correlates: Sleep Disorders in Children

Select a sleep disorder topic for clinical presentation, diagnosis, and management guidance.

📋 Stepwise Approach to Pediatric Sleep Disorders

🔑 Key Principles — Sleep Medicine (Nelson Ch 31)
• BEARS screening tool at every visit: Bedtime problems, Excessive daytime sleepiness, Awakenings, Regularity, Snoring.
• Behavioral insomnia: Sleep-onset association + limit-setting types → behavioral interventions (extinction, graduated extinction, bedtime fading).
• OSA: Snoring, pauses, restless sleep → polysomnography; adenotonsillectomy first-line.
• Parasomnias: Sleep terrors/sleepwalking (NREM) vs nightmares (REM) — management: reassurance, safety, scheduled awakenings.

    ⚡ Reflex Prompts — Sleep Scenarios

    📖 Chapter 31 Summary: Sleep Medicine