The symptoms are usually worse at rest and in the evening, and are temporarily improved with movement (1). Generally lower extremities are affected more with symptoms less common in upper extremities and torso. Treatment includes nonpharmacologic interventions, dopamine agonists, opioids, benzodiazepines, or neuroleptic agents (2).
Fiona is 40, she is tired all the time because she can't sleep. She has distressing pins and needles in her legs. At times it's painful with an irresistible urge to move her legs. She had a baby 2 years ago and the symptoms started in her last pregnancy.
Listen to the podcast to find out about the assessment, diagnosis and management of Fiona's symptoms:
Jo is a GP and Medical Educator based in Sydney.
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Learn moreAnthony is a retired engineer, who is compliant with his COPD and diabetes management but has been struggling with frequent exacerbations of his COPD.
Whilst no longer considered a public health emergency, the significant, long-term impacts of Covid-19 continue to be felt with children’s mental health arguably one of the great impacts of the pandemic.
Your next patient is Frankie, a 5 year old girl, who is brought in by her mother Nora. Frankie has been unwell for the past 48 hours with fever, sore throat and headache. The previous day Nora noticed a rash over Frankie’s neck and chest which has since spread over the rest of her body.