359) A 50 year old woman with history of Diabetes Mellitus presents to your office with complaining of discomfort in her both legs for past few months. She describes unpleasant sensations as well as abnormal sensations such as including tingling, creeping and itching sensations deep in her legs while sitting. Walking a few steps relieves her symptoms. She denies any pain in the legs upon walking or at rest. Physical examination reveals slightly diminished pulses in bilateral lower extremities. Which of the following is the first step in managing her symptoms?
A) Nerve Conduction Studies
B) Cilostozol
C) Dopamine Agonists
D) Obtain Serum ferritin
E) Gabapentin
Archer USMLE Step 3 and Internal medicine blogs are the products of highly successful Archer USMLE reviews. These blogs are run by board-certified teaching physicians. From time to time, several evidence based guidelines on disease management strategies and patient care will be posted and discussed here to help USMLE Step 3 examinees and those appearing for Internal Medicine Boards. These include the areas of medicine that are highly tested on USMLE 3 as well as Internal medicine board exams.