OSAS Symptoms and Signs
| History of frequent snoring (≥3 nights per week) |
| Labored breathing during sleep |
| Gasps, snorting noises, observed episodes of apnea |
| Sleep enuresis (especially secondary enuresis) |
| Sleeping in a seated position or with the neck hyperextended |
| Cyanosis |
| Headaches on awakening |
| Daytime sleepiness |
| Attention-deficit/hyperactivity disorder |
| Learning problems |
| Physical examination |
| Underweight or overweight |
| Tonsillar hypertrophy |
| Adenoidal facies |
| Micrognathia, retrognathia |
| High-arched palate |
| Failure to thrive |
| HTN |
| History of frequent snoring (≥3 nights per week) |
| Labored breathing during sleep |
| Gasps, snorting noises, observed episodes of apnea |
| Sleep enuresis (especially secondary enuresis) |
| Sleeping in a seated position or with the neck hyperextended |
| Cyanosis |
| Headaches on awakening |
| Daytime sleepiness |
| Attention-deficit/hyperactivity disorder |
| Learning problems |
| Physical examination |
| Underweight or overweight |
| Tonsillar hypertrophy |
| Adenoidal facies |
| Micrognathia, retrognathia |
| High-arched palate |
| Failure to thrive |
| HTN |
Adapted from Marcus CL, Brooks LJ, Draper KA, et al; American Academy of Pediatrics. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130(3). Available at: www.pediatrics.org/cgi/content/full/130/3/e714.