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Problem: A 42-year-old African American male presents to your office today for a follow-up visit. He was seen 3 weeks ago for an upper respiratory infection and was noted to have a blood pressure of 164/98. He vaguely remembers that in the past he was told that his blood pressure is borderline. He feels fine and has no complaints, and his review of symptoms is completely negative. He does not smoke, he does not use excessive alcohol and he does not exercise regularly. He has a sedentary job. His father died at age 72 from a stroke and his mother is 79 and alive and well. Today in the office, his blood pressure is 158/96 in the left arm and 162/98 in the right arm. His physical exam is normal other than having a BMI of 39. What diagnosis can you make today? What further workup is needed. What pharmacological and nonpharmacological interventions can you do today?
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