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[Answered]: KJ is a 36 y/o Black man who presents to the…

KJ is a 36 y/o Black man who presents to the clinic for a BP check. At his last annual physical exam 2 weeks ago, his blood pressure was 155/91. One month prior to his annual exam, he presented to the clinic for a URI. At that visit, his BP was 158/95. After resting for 5 mins in the exam room, the RN takes his BP and gets a reading of 160/92. What is causing the elevated BP in KJ? KJ reports feeling well aside from the constant stress of his job and single parenting since his wife’s suicide two years ago. You notice that his weight has increased 20 lbs in the last year. In the course of your review of systems, KJ reports he eats whatever he feels like without consideration of fat, sodium or carbohydrate content. He says he and his kids often eat out for dinner “because it’s easier that way”. He says he adds salt to most food. He also notes persistent fatigue and no regular exercise aside from “playing with my kids”. He asks you why he is so tired all the time and wonders if there are changes he should make to his diet.

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