Patient presents with complaints consistent with peripheral artery disease (PAD).  Symptoms include intermittent claudication characterized by cramping, aching, or fatigue in the lower extremities, specifically the calf muscles,  during exercise and relieved by rest.  Onset of pain is reproducible with ambulation at a consistent distance.  Patient reports a Rutherford category (grade) [Insert Rutherford category 1-6] level of PAD.  Associated symptoms may include numbness, tingling, or coldness in the legs or feet.  Resting pain is [present/absent].  Physical examination reveals diminished or absent pedal pulses, decreased capillary refill time in the toes, and possible skin changes such as pallor, coolness, or hair loss in the affected limb.  Ankle-brachial index (ABI) measurement was recorded as [insert ABI value].  Differential diagnosis includes spinal stenosis, venous insufficiency, and neuropathy.  Diagnosis of peripheral artery disease is supported by clinical presentation, ABI measurement, and patient history.  Treatment plan includes lifestyle modifications such as smoking cessation, supervised exercise therapy, and dietary changes to manage risk factors like hyperlipidemia, hypertension, and diabetes.  Pharmacological interventions may include antiplatelet therapy (e.g., aspirin, clopidogrel) and medications to address hyperlipidemia, hypertension, and diabetes.  Referral to vascular specialist is considered for further evaluation and potential interventions such as angioplasty, stenting, or bypass surgery if indicated. Patient education provided on disease management, foot care, and importance of medication adherence.  Follow-up appointment scheduled in [ timeframe] to monitor symptoms, ABI, and treatment efficacy.