Case study

Case study
Number of sources: 4
Paper instructions:
A 47-year-old male patient, who is a house painter and whom you haven’t seen in several years, presents with chronic fatigue and mild chest pain frequently relieved by taking a break from painting. He’s married to a 47-year-old woman with multiple sclerosis and has two married children and one grandchild living nearby. He also complains of frequent eructation, flatulence, and indigestion after eating. He was told (when he weighed 30 lbs. less than he does now) that he could control his hyperlipidemia by diet.
o CC: “I’m always tired, and I have this annoying chest pain when I climb a ladder.”
o Past medical history: Anxiety, cholecystectomy, vasectomy
o Vital signs: Blood pressure (BP): 146/88; height, 6 ft; weight, 242 lbs.
o Lab results: TC 230; LDL 180; HDL 32

Question 1
How is his BP according to the Eighth Joint National Committee (JNC 8)?
Question 2
What tests will you order?
Question 3
What additional objective data will you be assessing for?

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