Case study info: 35 y/o A.W who

Case study info: 35 y/o A.W who is african american male comes to the office for a physical with his older sister. Both parents are now deceased (mother had a heart attack about 6 months ago and dad died 2 years ago due to complications of diabetes). History/social A.W. lives with his sister her spouse and two nieces A.W. has 1 other sister and another brother (ALL SIBLINGS ARE overweight and prediabetic) A.W. works at burger king around 30 hours a weight A.W. denies any meds, NKDA tonsilectomy at age 6 Vitals BP 140/90, hr 90, resp 18, pulse ox 96%, temp 98.5., weight 380, height 69in, BMI 40.35 ROS only compliant does get tired in the day time and snores at night Physical exam: HEENT-remarkable Respiratory-lungs clear Cardio-no irregular heart sounds Abdomen-round obese with striae no liver enlargement skin-dry warm to touch striae on bil legs and arms muscosketal-moves all extremities strength 5/5 psych-delay in answering questions (on Spectrum) SOAP NOTE needed with at least 3 differential diagnoses with rationales and final diagnosis SCIENCE HEALTH SCIENCE NURSING NSG 6420 6420

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