Patient presents with symptoms suggestive of limb ischemia.  Onset of symptoms was (duration) and characterized by (intermittent claudication, rest pain, acute limb ischemia).  Location of symptoms is specified as (right upper extremity, left lower extremity, bilateral lower extremities, etc.).  Pain quality described as (aching, burning, cramping, shooting).  Associated symptoms may include (paresthesia, numbness, coolness, pallor, muscle weakness, ulceration, gangrene).  Patient reports (aggravating factors such as exertion, elevation) and (relieving factors such as rest, dependency).  Past medical history includes (peripheral artery disease, diabetes mellitus, hyperlipidemia, hypertension, smoking, coronary artery disease, history of prior revascularization).  Physical examination reveals (diminished or absent pulses, bruit, cool extremity, pallor, dependent rubor, muscle atrophy, ulceration, gangrene).  Capillary refill time is (delayed, normal).  Ankle-brachial index (ABI) is (recorded value).  Diagnostic workup may include (duplex ultrasound, computed tomography angiography, magnetic resonance angiography, arteriogram).  Assessment: Limb ischemia (acute, chronic), Rutherford classification (stage I-VI), Fontaine classification (stage I-IV).  Differential diagnosis includes (neuropathy, venous insufficiency, compartment syndrome, thromboembolism).  Plan includes (conservative management with lifestyle modifications including smoking cessation and exercise, medical management with antiplatelet therapy and statins, further diagnostic testing, referral to vascular surgery for consideration of revascularization procedure such as angioplasty, bypass grafting, or endarterectomy).  Patient education provided regarding risk factor modification, medication adherence, and follow-up care.  Return to clinic scheduled in (timeframe).