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Case Study: Brian Estes is a 52-year-old Caucasian male with a past medical history of hypertension and hyperlipidemia. He is at the clinic today for a yearly physical examination at the urging of his wife. He is a mid-level manager at an electronics company and has been under considerable work stress in the past six months.He admits to being a "couch potato". He was prescribed amlodipine (Norvasc)at his last physician appointment 15 months ago. He admits to taking this medication on "most days".
His total cholesterol is 224 mg/dL; HDL 45 mg/dL; LDL 179 mg/dL; andtriglycerides 200 mg/dL. He is 5' 10" and weighs 201 pounds with a BMI of 28.8,
He has a positive family history of CAD. His father had a myocardial infarction at age 54, and his grandfather died of a myocardial infarction at age 42. His current vital signs are temperature 97.6 orally; pulse 86 and regular; blood pressure 178/96 mmHg; and respirations 14/min
Questions:
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