Employed in construction company

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What is the diagnosis of a 57 year old man presented with overweight BMI, employed in a construction company. he smokes, presented for evaluation of elevated blood pressure reading of 170/92 noted at recent local health fair. takes ibuprofen for joint pain, denies day time fatigue and somnolence, interrupted sleep, chest pain, edema,snoring and shortness of breath. physical examination is notable for a blood pressure of 172/94 on the left arm and 178/98 on the right arm. fundoscopic finding of AV-nicking and otherwise negative cardiopulmonary examination.

Reference no: EM133762688

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