What are your differential diagnosis

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Question: A 45-year old Caucasian female who works as a corporate manager comes to your office for her annual physical. She is somewhat overweight (BMI 29.5) and does not take any medications except for a multi-vitamin. She denies tobacco use but admits to drinking 2-3 cocktails in the evening to "unwind". She states that both her father and brother have hypertension and her paternal grandfather has had a "heart attack" and stroke around age 55. She states that she has been having occasional morning headaches (3/10) which dissipate within about 1 hour upon awakening. Because of these headaches, she started monitoring her BP at her local CVS and has brought you the following BP log: Day #1: 145/92 Day #2: 153/88 Day #3: 139/94 Day #4: 142/90 Day #5: 152/89 Today's vitals are: BP 162/94 mmHg; HR 82 bmp; RR 15. What are your differential diagnosis? What other questions would you ask this patient? What diagnostic testing would you perform? discuss your non-pharmacological and pharmacological recommendations and provide a rationale Please provide references for all answers as well as rationale behind your aswers

Reference no: EM133390960

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