Patient presents with symptoms suggestive of peripheral artery disease unspecified.  Intermittent claudication, characterized by aching, cramping, or fatigue in the lower extremities during exercise and relieved by rest, is the primary complaint.  The patient reports pain location in [specify location, e.g., calf, thigh, buttock] with onset after walking approximately [specify distance or time].  Rest pain is [present/absent].  Physical examination reveals [describe findings, e.g., diminished or absent pedal pulses, cool extremities, skin changes such as pallor or hair loss].  Peripheral artery disease diagnosis is suspected based on clinical presentation.  Differential diagnoses include spinal stenosis, osteoarthritis, and venous insufficiency.  Further evaluation, including ankle-brachial index ABI measurement, Doppler ultrasound, and or angiography, may be necessary to confirm the diagnosis of PAD and assess the severity of arterial insufficiency.  Risk factors for peripheral vascular disease, such as smoking history, hyperlipidemia, diabetes, hypertension, and family history of atherosclerosis, were reviewed.  Patient education regarding lifestyle modifications, including smoking cessation, regular exercise, and dietary changes, was provided.  Pharmacological management options, such as antiplatelet therapy and medications to address risk factors, will be considered.  Referral to a vascular specialist may be warranted for further evaluation and management of peripheral arterial disease.  Follow-up appointment scheduled in [specify time frame] to assess symptom improvement and discuss further diagnostic testing or treatment as indicated.