Page 1 of 1: Interesting question

goldenhand · Credits: 19466 My Scrapbook

A 42-year-old woman comes to the office complaining of increased lower extremities movement. She complains of motor restlessness, including floor pacing and leg rubbing. The symptoms are worse at rest and relieved with activity. The symptoms are worse in the evening and at night, although the symptoms have not been keeping her awake. She denies daytime somnolence or fatigue. She has no prior medical history and is not taking any medications. Cardiac, lung, abdomen, and musculoskeletal examinations are all within normal limits. Laboratory studies show a microcytic anemia and a low iron level. Which of the following is the most appropriate management at this time?

A.Prescribe amitriptyline

B.Prescribe iron replacement

C.Prescribe levodopa

D.Prescribe pramipexole

E.Schedule a sleep apnea study

botak 1 · Credits: 12608 My Scrapbook

B.Prescribe iron replacement

mcc16 · Credits: 18245 My Scrapbook

yes the first treatment in restless leg syndrome is to correct underlying deficiencies like iron ,folate and magnesium.once corrected, can switch to other medication if symptoms still persistant.

B.Prescribe iron replacement

goldenhand · Credits: 19466 My Scrapbook

Awesome....both of u.
The correct answer is B. This patient has restless leg syndrome (RLS). The symptoms are commonly worse in the evening and can cause insomnia. Although the cause is unknown, it can be precipitated by medications such as tricyclic antidepressants and has been associated with several diseases, including renal failure, iron deficiency anemia, and peripheral neuropathy. Because this patient has iron deficiency anemia, it would be advisable to replete the iron and see if the symptoms resolve.

smartyroy · Credits: 13689 My Scrapbook

42-year-old woman comes to the office complaining of increased lower extremities movement. She complains of motor restlessness, including floor pacing and leg rubbing. The symptoms are worse at rest and relieved with activity. The symptoms are worse in the evening and at night, although the symptoms have not been keeping her awake. She denies daytime somnolence or fatigue. She has no prior medical history and is not taking any medications. Cardiac, lung, abdomen, and musculoskeletal examinations are all within normal limits. Laboratory studies show a microcytic anemia and a low iron level. Which of the following is the most appropriate management at this time?

A.Prescribe amitriptyline

B.Prescribe iron replacement

C.Prescribe levodopa

D.Prescribe pramipexole

E.Schedule a sleep apnea study[/quote]

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