Restless leg syndrome

Question 1

lower extremity discomfort and urge to move legs when falling asleep
nocturnal leg movements

Answer 1

restless leg syndrome

-seen by irrestistible urge to move one’s body typically the legs to stop uncomfortable or odd sensations

Question 2

when do we see RLS?

Answer 2

more common in middle aged or older parents

seen in CKD and FE deficiency anemia pts

Question 3

1st line treatment of RLS

Answer 3

dopaminergic agonists (ropinirole and pramipexole)

gabapentin in refractory cases

Question 4

supplemental interventions for RLS is

Answer 4

iron supplementation if low ferritin,
leg massage
hot or cold compresses
sleep hygiene measures and regular exercise

Question 5

diagnostic criteria for RLS:

Answer 5

unpleasant sensations in the legs, or other parts of the body (arms) that begin or worsen with inactivity lying down sitting

unpleasant sensations in the legs that:
are relieved by movement (walking, stretching)
worsen or occur only in evening or at night

symptoms not explained by other disorder

Question 6

secondary causes of RLS

Answer 6

iron deficiency anemia
uremia (ESRD, CKD)
DM2
MS, Parkinsons Dx
pregnancy
drugs (antidepressants, metoclopramide)

Question 7

alternate pharmacological treatment for RLS

Answer 7

alpha 2 delta calcium channel ligands - gabapentin or encarbil