Reference no: EM133795640

Question

DJ is a 46-year-old white male who presents for a follow up visit. Last month he had a work physical and his BP was elevated. He denies chronic illnesses, hospitalizations, and takes no regular medications. DJ smokes one pack of cigarettes a day for the past 30 years. He drinks 5-6 beers on the weekends and gets no regular exercise. DJ works as a supervisor for a utility company, which involves deskwork only. His father died at age 55 of a heart attack. His mother, age 70, had a stroke 5 years ago. His sister, age 52, is being treated for HTN. ROS: unremarkable His work PE was WNL except for a BP of 160/100 (no significant differences in extremities). BP today 164/104 Height: 76 inches Weight: 282 pounds Waist circumference: 105 cm Labs (fasting) from visit last month: Sodium 139 Potassium 4.0 Chloride 103 CO2 27 Glucose 95 BUN 15 Creatinine 0.9 Cholesterol 237 Triglycerides 301 HDL 36 LDL 142 Alk Phos 84 AST 37 List the three most likely differentials with brief rationale. (Include your most likely diagnosis) Based on the information given, what is the most likely diagnosis for this patient? Use given subjective and objective data.