A 62-year-old man with hypertension and stage 3 chronic kidney | Uworld | Step 2ck

A 62-year-old man with hypertension and stage 3 chronic kidney disease complains of poor sleep. He describes the sensation of spiders crawling over both legs about 15-20 minutes after getting into bed at night Sometimes the patient has to sit up in bed and massage his legs. Walking and pacing around the bed or wiggling his legs alleviates the symptoms, but they return when he gets back in bed. His wife's sleep has deteriorated as her husband's leg movements have gotten worse. After initial evaluation, he is started on first-line pharmacotherapy for his condition.