What additional tests would you order


Problem

Ms. Gloria Empanio is a 48-year-old Hispanic female. She visits the community clinic, reporting to the nurse that her feet feel numb that and she has a small sore on the bottom of her right foot. Ms. Empanio mentions to the registered nurse (RN) that she underwent surgery for breast cancer 2 years ago.The RN reviews Gloria's initial complaint that her feet feel numb. What assessment should the RN perform first?

Gloria's feet are pale and cool to the touch, consistent with the weak, thready pedal pulses palpated by the RN.The RNS uses a Doppler Ultrasound stethoscope to confirm the presence of the dorsalis pedis pulses. After applying get to the transducer and placing the transducer over the middle of the dorsal surface of the foot, the RN hears a regular swooshing sound.

What is in your differential diagnosis and what additional tests would you order?

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