obsolete persistent disorder of initiating or maintaining sleep

Based on the provided context, it appears that the description you're looking for is related to a sleep disorder rather than an obsolete medical condition.

However, I found some relevant information in the search results:

• Insomnia is a common sleep disorder characterized by difficulty falling asleep, staying asleep, or both, even if you have ample time and a bedroom environment conducive to restful sleep. [3]
• Insomnia can get in the way of your daily activities and may make you feel sleepy during the day. [4]

It's worth noting that insomnia is not an obsolete condition, but rather a common sleep disorder that affects many people.

If you're looking for information on an obsolete medical condition, I'd be happy to try again or search for more relevant results. However, based on the provided context, it seems that insomnia is still a relevant and current topic in the field of sleep medicine.

Based on the provided context, I've compiled a list of signs and symptoms associated with an outdated term for insomnia:

• Trouble falling asleep: This is one of the primary symptoms of the condition, where individuals struggle to initiate sleep (1).
• Failure to sleep through the night: People experiencing this disorder may wake up frequently during the night or have difficulty sleeping through the entire night (3, 13).
• Waking up earlier than usual: Some individuals with this condition may wake up earlier than their desired wake-up time, disrupting their sleep patterns (13).
• Daytime fatigue and sleepiness: As a result of poor sleep quality, people with this disorder may feel tired or sleepy during the day (5, 7).
• Restless sleep: Frequent awakenings throughout the night can lead to restless sleep, making it difficult for individuals to get quality rest (8).
• Crankiness, depression, and anxiety: Insomnia can also manifest as emotional symptoms, such as feeling cranky, depressed, or anxious (5, 7).
• Difficulty concentrating and memory issues: The lack of quality sleep can affect cognitive function, leading to problems with attention, focus, and memory (9).
• Increased risk of accidents and errors: Fatigue caused by insomnia can impair motor skills, leading to a higher risk of accidents and errors (10).

Please note that the term "obsolete persistent disorder of initiating or maintaining sleep" is not a standard medical term. The condition described here is more commonly referred to as insomnia.

Based on the available information, it appears that there are no specific diagnostic tests for insomnia, which is not considered a disease. However, various tests can help rule out other conditions that may be related to poor sleep.

• Blood tests: A blood test may be done to check for thyroid problems or other conditions that may be related to poor sleep [1].
• Sleep studies: A PSG (Polysomnography) sleep study may be needed if other sleep disorders like obstructive sleep apnea are suspected, or if the initial diagnosis is uncertain [3]. However, this test is not typically used for diagnosing insomnia.
• Substance abuse tests: A test to check for drugs and alcohol in the blood can help determine if substance use is contributing to sleep disorders, such as insomnia [6].
• Other tests: Various other tests may be conducted to rule out other conditions that could be causing poor sleep, including brain waves, heart rate, breathing and oxygen levels, and muscle movements [2].

It's worth noting that a formal diagnosis of insomnia requires meeting certain criteria, which may involve multiple exams and appointments [3]. However, there are no specific tests that can diagnose insomnia directly.

References: [1] - Context result 1 [2] - Context result 2 [3] - Context result 3 [6] - Context result 6

Based on the provided context, it appears that you are looking for information on the drug treatment of insomnia, specifically an outdated term "persistent disorder of initiating or maintaining sleep".

Current understanding: Insomnia is now classified as a chronic (long-term) condition, also known as insomnia disorder [4]. The primary and secondary forms of insomnia have been identified, with primary insomnia being the most common type [4].

Treatment options: While prescription sleeping pills may be used to treat insomnia, they are not considered the best long-term treatment option for many people due to potential side effects and risks of dependence [1]. Cognitive Behavioral Therapy (CBT) is often recommended as a first-line treatment for chronic insomnia, which involves learning techniques to improve relaxation and sleep habits [3].

Medications: Prescription sleeping pills may be used in some cases, but it's essential to discuss the benefits and risks with a healthcare provider before trying any new medication. The context mentions benzodiazepines, non-benzodiazepines, orexin receptor antagonists, and antidepressants as potential sleep medications [12].

Important note: It's crucial to consult a healthcare professional for personalized advice on treating insomnia, as they can help determine the best course of treatment based on individual circumstances.

References: [1] Context result 2 [3] Context result 3 [4] Context result 4 [12] Context result 12

Based on the provided context, it appears that you are looking for differential diagnoses for a condition related to sleep initiation and maintenance.

According to search result [1], Differential Diagnoses include Depression, Obstructive Sleep Apnea (OSA), Periodic Limb Movement Disorder, Restless Legs Syndrome, and Sleeplessness. These conditions can all present with symptoms of difficulty initiating or maintaining sleep.

Additionally, search result [6] mentions that insomnia has been associated with apnea, myoclonus, substance abuse, and neurologic, endocrine, cardiovascular, and gastrointestinal illnesses. This suggests that a differential diagnosis for a persistent disorder of initiating or maintaining sleep could also include conditions such as:

• Apnea
• Myoclonus
• Substance abuse
• Neurologic disorders (e.g., Parkinson's disease, neuropathy)
• Endocrine disorders
• Cardiovascular diseases (e.g., congestive heart failure, arrhythmia, coronary artery disease)
• Gastrointestinal illnesses

Furthermore, search result [7] and [9] discuss the subtypes of insomnia disorder, which can be acute versus chronic, and based on etiology. This could also be relevant to a differential diagnosis for a persistent disorder of initiating or maintaining sleep.

Lastly, search result [8] lists various conditions that can cause difficulty in initiating or maintaining sleep, including Alcoholism, Anxiety Disorders, Bipolar Disorder, Breathing-Related Sleep Disorder, Chronic Obstructive Pulmonary Disease (COPD), and Depression.

In summary, the differential diagnoses for a persistent disorder of initiating or maintaining sleep could include:

• Apnea
• Myoclonus
• Substance abuse
• Neurologic disorders (e.g., Parkinson's disease, neuropathy)
• Endocrine disorders
• Cardiovascular diseases (e.g., congestive heart failure, arrhythmia, coronary artery disease)
• Gastrointestinal illnesses
• Alcoholism
• Anxiety Disorders
• Bipolar Disorder
• Breathing-Related Sleep Disorder
• Chronic Obstructive Pulmonary Disease (COPD)

Please note that this is not an exhaustive list and a comprehensive differential diagnosis would require further evaluation and consideration of individual patient factors.