A diabetic client presents to the clinic. He is concerned his lower legs are "feeling funny." Which assessment findings lead the health care provider to suspect the client may have developed somatic neuropathy? Select all that apply.

a. both legs appear to be the same as far as numbness is involved.
b. bilateral cool ankles and feet.
c. with eyes closed, the client cannot identify where the HCP is touching his feet.
d. one leg has a reddened area in the calf and has a positive Homan sign.

An 80-year-old woman comes to the urgent care clinic with dyspnoea on exertion. on physical examination, her blood pressure is 100/70, and her pulse is 75. she has no pulsus paradoxus. her jugular veins are distended, and she has distant heart sounds. in addition, she has extra third and fourth heart sounds. her liver is enlarged, and she has pedal oedema. she has occasional premature ventricular contractions on her electrocardiogram. a chest x-ray reveals clear lung fields with a dilated cardiac silhouette. her echocardiogram reveals ventricular walls with a "speckled pattern". which of the following is the most likely diagnosis? - alcoholic cardiomyopathy- amyloidosis- haemochromatosis- tuberculosis- viral myocarditis