[Expert Solution]: Client presents to the office today with…

Client presents to the office today with worsening of manifestations described at routine checkup one month ago. The client states that they have returned because the fatigue has worsened. They are experiencing frequent headaches and falling asleep at work. The partner of the client states that on a few occasions the client has snored loudly. The client reports gaining 10 pounds in the last month and has had nights where they have been woken up by a snort and were unable to get back to sleep. Physical Exam: General: Pleasant, well-appearing , alert and oriented X4. In no acute distress. Respiratory: Lung fields are clear to auscultation. Peripheral pulses palpable. Skin: Pinkwarm, dry and intact. Cardiovascular: and S2 present , no murmur noted.