While Performing the Assessment for Bilateral Symmetrical Skin Temperature, the Nurse

While performing the assessment for bilateral symmetrical skin temperature, the nurse finds that the skin temperature of the patient's left hand is much cooler than the skin temperature of the right hand. The nurse should conduct additional assessment for which possible conditions?. Select all that apply.

A) Peripheral arterial insufficiency
B) Hypothyroidism
C) Overuse
D) Infection
E) Differences in ambient room temperature