Nov 12, 2020
A 78-year-old patient is being examined by a physical therapist in an outpatient setting. The patient’s primary complaints include bilateral hand arthralgia, generalized muscle weakness, and excessive fatigue. In addition, the patient reports sensory loss bilaterally in a stocking “gaiter” distribution. The patient also reports passing several large kidney stones in the last 3 weeks. Based on this patent’s presentation, which of the following additional signs or symptoms would MOST likely be present?
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