Chief Complaint: restless legs
Medical History: this is a 54 y/o female with a 30 year history of smoking and moderate alcohol intake. She is a psychotherapist with an extremely stressful practice. Her restless legs manifest as primarily cramping and interfere with her sleep.
Questioning exam: she complains of fatigue, tinnitus, occasional dizziness and constipation.
Pulse exam: pulse is thin, weak and deep.