Question

47yo man presents to your clinic to establish care. He has a history of resistant hypertension, DMII, and sleep apnea. Vital signs are BP-159/101, HR-74, RR-16, O2-100%, and temp-98.9. Physical examination is also significant for multiple bruises on the lower extremities.

1. What would be the next step in the diagnosis of this patient?
2. What else would you need to order to determine the cause of this patient’s condition?