[Answered]: A 67-year-old man comes to the office due to pain…

A 67-year-old man comes to the office due to pain in the lower part of his calves on his afternoon walk to get the mail. The pain is relieved by rest. It started slowly about 6 months ago and has become more painful over time. He has a current medical diagnosis of hypertension, hyperlipidemia, diabetes mellitus, and past history of smoking. Medications include atorvastatin, metformin, and a multivitamin that he takes daily. The patient does not smoke and only drinks socially. Today, his blood pressure is 145/90 mm Hg, his pulse is 75/min, his respiratory rate is 17/min, and his temperature is 37.6deg C (99.6deg F). On physical exam, he has obesity. His heart has a regular rate and rhythm, and his lungs are clear to auscultation bilaterally. Examination of the legs shows atrophic changes and diminished pedal pulses. A measure of his ankle-brachial index (ABI) is 0.89. Which of the following is the most appropriate initial treatment? A. Enoxaparin B. Metoprolol C. Pedal pumping exercises D. A recommendation to walk moreStructured exercise program