### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I didn t feel good. My blood pressures was 125/81 pulse 73 sweet 132 at 3:45. Ate a raisin bagel with cream Cheese 3 cups coffee with sugar free sweetener and fat free creamer. 2 glass water At 9pm my blood pressure was 158/98 pulse was 78. Sweet was 112 after eating tomato, cucumbers. My body is shaking, muscle in legs and calves arms right above left elbow and right shoulder,muscle, headaches, I wake up during the night with my left leg bent at knee and my foot touching my right leg. From the middle of my butt cheeks down my left leg to my feet I can t straighten my leg out. Feels like its frozen . Have to take my hands to move it. With a lot of pain. The past couple of weeks I fall a sleep at anytime an waking up with a jerk.. Like I am scared to death. Joints hurt. Can t keep folkiest. Have a sore on the in side of my nose that won t heal. Hair is falling out, finger & toe nails have ridge. I know I have gone on and on. I just know there is something not right. Any idea of what a can do Thank you Gloria

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your medical history and would explain that your symptoms could be related to a metabolic disorder. I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, blood electrolytes including calcium and phosphorus, vitamin D plasma levels, kidney and liver function tests). - a lumbar column X-ray study for possible degeneration in this level, or even possible herniated disks. A lumbar CT scan may be needed for this purpose. A nerve conduction study would help examine the nerves in your lower limbs for possible nerve compression. You should discuss with your doctor on the above issues. Hope to have been helpful! Greetings!