A 66-year-old female complains of fatigue and a "burning and itching feeling in the legs." 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,GERD,and depression.On physical examination,vital signs are T 98 degrees,18 resps/ min,pulse 66,and BP 110/60.Heart: regular rate and rhythm,no murmurs.Lungs are clear to auscultation.Abdomen is non-tender with no organomegaly.Extremities: Skin is pink,cool to touch,and intact bilaterally.+ Hallux valgus bilaterally.Left and right quadriceps muscle strength 5/5.DTRs left and right + 3/4.No clonus.Negative Homan's and Babinski's sign.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:
A) Peripheral vascular disease
B) Restless leg syndrome
C) Peripheral neuropathy
D) All of the above
Correct Answer:
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