A 60-year-old female presents with several weeks of “burning” in her left foot. She denies any trauma or numbness but has intermittent periods of pain on the sole of the foot. She says her feet have never bothered her before, and in fact, she never even really feels them get cold. She is on amlodipine for hypertension but denies other medical problems or smoking. She says her parents were overweight and died in their 50s but never had any officially diagnosed medical problems.Her vitals are BP 150/100, HR 80, RR 18, Temp 98.7, and SatO2 98% on RA.She is overweight and appears older than her stated age. Neuro exam is notable for normal strength, reflexes, Romberg, and gait, as well as for normal vibratory and position sense of the toes bilaterally but significantly decreased sensation to a warm towel applied to the soles.What is the appropriate thing to do for this patient? A. Refer to neurologist for workup B. Refer to podiatrist for workup C. Get HgbA1C, start gabapentin (Neurontin), and refer for nerve conduction study D. Prescribe pregabalin (Lyrica)
[Verified Answer]: A 60-year-old female presents with several…
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