Pathophysiology: Adenotonsillar hypertrophy
Signs / symptoms:
Night symptoms
Loud snoring, pauses in breathing, gasping
Enuresis, parasomnias (eg, sleepwalking, sleep terrors)
Day symptoms
Inappropriate naps or falling asleep during school
Irritability, inattention, learning problems, behavioral problems
Mouth breathing, nasal speech
Complications:
Poor growth (ie, failure to thrive)
Poor school performance
Cardiopulmonary (eg, hypertension, structural heart changes)
Treatment / management: Tonsillectomy & adenoidectomy
