Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.Objective Data:Height: 68 inches; weight 134.5 kgBP: 172/98, HR 88, RR 263+ pitting edema bilateral feet and anklesFasting blood glucose: 146 mg/dLTotal cholesterol: 250 mg/dLTriglycerides: 312 mg/dLHDL: 30 mg/dLSerum creatinine 1.8 mg/dLBUN 32 mg/dlCritical Thinking EssayIn 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
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