A 66-year-old female complains of fatigue and a burning and itching feeling in the legs. The patient reports that the leg problem occurs during sleep and awakens her during the night. Current medications include: ACE inhibitor, Wellbutrin, and Prilosec. Denies use of tobacco or alcohol. History of hypertension, gastroesophageal reflux disease, and depression. On physical examination, vital signs are: temperature 98°F, respirations 18 breaths/min, pulse 66 beats/min, and blood pressure 110/60. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is nontender with no organomegaly. Extremities: skin is pink, cool to touch, and intact bilaterally. Positive Hallux valgus bilaterally. Left and right quadriceps muscle strength 5/5. Deep tendon reflexes left and right +3/4. No clonus. Negative Homan's and Babinski's signs. Sensation to pin prick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1/4 bilaterally. No neurological deficits. These signs and symptoms are characteristic of:

Question

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The patient's symptoms of a burning and itching feeling in the legs that occurs during sleep and awakens her, without significant findings on physical examination to suggest peripheral vascular disease or peripheral neuropathy, are characteristic of Restless Legs Syndrome (RLS). RLS is a neurological disorder characterized by an irresistible urge to move the legs, often accompanied by uncomfortable sensations, typically occurring during periods of rest or inactivity, particularly at night.

A 66-Year-Old Female Complains of Fatigue and a Burning and Itching