Now say it. Present him in three sentences or fewer.

Sprint 34: Left Calf Pain for Six Weeks

Left calf pain after about two blocks of walking that eases within minutes of standing still

Faint left dorsalis pedis and posterior tibial pulses, with a cool, thin, hairless left lower leg

Takes metformin, lisinopril, and atorvastatin, with no recent changes

Has smoked a pack a day for 40 years and has had type 2 diabetes for 12 years

No pain at rest or at night and no sores on his feet

His wife has been urging him to get this checked for months

Retired electrician who still takes side jobs and had a flu shot last month

Morning low back stiffness that he attributes to getting older

Point to the pain being in his calf and not his back, because spinal problems cause pain in the lower back

Say it cannot be excluded without a lumbar MRI, because his morning back stiffness could still mean spinal stenosis

Point to his smoking and diabetes, because those risk factors make vascular disease far more likely than a spinal problem

Point to relief with standing still and faint left pulses, because spinal causes usually need sitting or bending forward to ease