Restless legs syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with restless leg syndrome is usually normal. Physical examination is performed to identify secondary causes and to rule out other disorders. A neurologic examination with emphasis on [[spinal cord]] and [[peripheral nerve]] function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease. A detailed [[vascular]] examination should performed in all patients with restless leg syndrome to diagnose the possible underlying [[vascular disease]]. A neurologic examination with emphasis on [[conjunctival]] [[pallor]] should performed in all patients with restless leg syndrome to diagnose the possible [[iron deficiency anemia]]. | |||
==Physical Examination== | ==Physical Examination== | ||
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* Physical examination is performed to identify secondary causes and to rule out other disorders. | * Physical examination is performed to identify secondary causes and to rule out other disorders. | ||
* The following are areas of particular importance: | * The following are areas of particular importance:<ref name="pmid28065687">{{cite journal| author=Gottlieb DJ, Somers VK, Punjabi NM, Winkelman JW| title=Restless legs syndrome and cardiovascular disease: a research roadmap. | journal=Sleep Med | year= 2017 | volume= 31 | issue= | pages= 10-17 | pmid=28065687 | doi=10.1016/j.sleep.2016.08.008 | pmc=5334194 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28065687 }} </ref><ref name="pmid23494945">{{cite journal| author=Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ| title=The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia. | journal=Am J Hematol | year= 2013 | volume= 88 | issue= 4 | pages= 261-4 | pmid=23494945 | doi=10.1002/ajh.23397 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23494945 }} </ref> | ||
** A neurologic examination with emphasis on [[spinal cord]] and [[peripheral nerve]] function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease. | ** A neurologic examination with emphasis on [[spinal cord]] and [[peripheral nerve]] function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease. | ||
** A detailed [[vascular]] examination should performed in all patients with restless leg syndrome to diagnose the possible underlying [[vascular disease]]. | ** A detailed [[vascular]] examination should performed in all patients with restless leg syndrome to diagnose the possible underlying [[vascular disease]]. | ||
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===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with restless leg syndrome is usually normal. | * HEENT examination of patients with restless leg syndrome is usually normal. | ||
* A neurologic examination with emphasis on [[conjunctival]] [[pallor]] should performed in all patients with restless leg syndrome to diagnose the possible [[iron deficiency anemia]]. | * A neurologic examination with emphasis on [[conjunctival]] [[pallor]] should performed in all patients with restless leg syndrome to diagnose the possible [[iron deficiency anemia]].<ref name="pmid23494945" /> | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with restless leg syndrome is usually normal. | * Neck examination of patients with restless leg syndrome is usually normal. | ||
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===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with restless leg syndrome is usually normal. | * Cardiovascular examination of patients with restless leg syndrome is usually normal. | ||
* A detailed [[vascular]] examination should performed in all patients with restless leg syndrome to diagnose the possible underlying [[vascular disease]]. | * A detailed [[vascular]] examination should performed in all patients with restless leg syndrome to diagnose the possible underlying [[vascular disease]].<ref name="pmid28065687" /> | ||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with restless leg syndrome is usually normal. | * Abdominal examination of patients with restless leg syndrome is usually normal. | ||
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===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with | * Extremities examination of patients with restless leg syndrome is usually normal. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 19:15, 13 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Physical examination of patients with restless leg syndrome is usually normal. Physical examination is performed to identify secondary causes and to rule out other disorders. A neurologic examination with emphasis on spinal cord and peripheral nerve function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease. A detailed vascular examination should performed in all patients with restless leg syndrome to diagnose the possible underlying vascular disease. A neurologic examination with emphasis on conjunctival pallor should performed in all patients with restless leg syndrome to diagnose the possible iron deficiency anemia.
Physical Examination
- Physical examination of patients with restless leg syndrome is usually normal.[1]
- Physical examination is performed to identify secondary causes and to rule out other disorders.
- The following are areas of particular importance:[2][3]
- A neurologic examination with emphasis on spinal cord and peripheral nerve function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease.
- A detailed vascular examination should performed in all patients with restless leg syndrome to diagnose the possible underlying vascular disease.
- A neurologic examination with emphasis on conjunctival pallor should performed in all patients with restless leg syndrome to diagnose the possible iron deficiency anemia.
Appearance of the Patient
- Patients with restless leg syndrome usually appear normal.
Vital Signs
- Patients with restless leg syndrome usually have normal vital signs.
Skin
- Skin examination of patients with restless leg syndrome is usually normal.
HEENT
- HEENT examination of patients with restless leg syndrome is usually normal.
- A neurologic examination with emphasis on conjunctival pallor should performed in all patients with restless leg syndrome to diagnose the possible iron deficiency anemia.[3]
Neck
- Neck examination of patients with restless leg syndrome is usually normal.
Lungs
- Pulmonary examination of patients with restless leg syndrome is usually normal.
Heart
- Cardiovascular examination of patients with restless leg syndrome is usually normal.
- A detailed vascular examination should performed in all patients with restless leg syndrome to diagnose the possible underlying vascular disease.[2]
Abdomen
- Abdominal examination of patients with restless leg syndrome is usually normal.
Back
- Back examination of patients with restless leg syndrome is usually normal.
Genitourinary
- Genitourinary examination of patients with restless leg syndrome is usually normal.
Neuromuscular
- Neuromuscular examination of patients with restless leg syndrome is usually normal.
- A neurologic examination with emphasis on spinal cord and peripheral nerve function should performed in all patients with restless leg syndrome to diagnose the possible underlying neurological disease.
Extremities
- Extremities examination of patients with restless leg syndrome is usually normal.
References
- ↑ Koo BB, Bagai K, Walters AS (2016). "Restless Legs Syndrome: Current Concepts about Disease Pathophysiology". Tremor Other Hyperkinet Mov (N Y). 6: 401. doi:10.7916/D83J3D2G. PMC 4961894. PMID 27536462.
- ↑ 2.0 2.1 Gottlieb DJ, Somers VK, Punjabi NM, Winkelman JW (2017). "Restless legs syndrome and cardiovascular disease: a research roadmap". Sleep Med. 31: 10–17. doi:10.1016/j.sleep.2016.08.008. PMC 5334194. PMID 28065687.
- ↑ 3.0 3.1 Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ (2013). "The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia". Am J Hematol. 88 (4): 261–4. doi:10.1002/ajh.23397. PMID 23494945.