What is the most likely diagnosis for this gentleman, as well as possible differentials?

i need the following 5 questions answered from the following case study56 year old male presents at the clinic to establish care. He states he is new to the area, but has not seen a PCP in at least 15 years, stating “I hate coming to places like this.” Patient appears well nourished, alert and oriented, affect is appropriate for situation, and he is in no acute distress. Patient appears to be a reliable historian, as does his wife who is present as well. He states he is a mechanic and lives with his wife and three daughters. He reports no past medical history, and states he is up to date on all vaccinations, including a flu shot in October 2019 and tetanus January 2020. Denies use of alcohol, tobacco, recreational drugs. Negative for high-risk behaviors and has not been out of the country in the last 6 months. Past surgical history includes right ACL repair in 1980. Family history is significant for diabetes (mother), HTN (mother and father), and MI (father- passed at age 61 due to acute STEMI). Patient states he has no known drug allergies. Current medications include: Tylenol 500mg PO PRN Patient complains of headaches for which he takes Tylenol 500mg x2 PO PRN “When I absolutely have to– I hate taking medicine.” He also complains of feeling fatigued most days. He reports feeling “dizzy-headed” and says his vision is often blurred during the headaches he experiences. His wife adds that the patient often appears flushed and needs to rest more often than he used to when doing daily tasks. Patient denies chest pain, shortness of breath, cough, headache, visual disturbance, unilateral weakness, pain.Exam reveals vital signs as follows: BP 210/106 Pulse 94 (regular) Temp 97.9 RR 16 (even and unlabored) Pain 0/10 Weight 226 lbs Height 70in . Head is normocephalic and atraumatic. PERRLA. Auscultation reveals clear, even breath sounds in all lobes bilaterally. S1S2 present with no adventitious sounds noted. Pulses strong and equal bilaterally. No JVD noted. No edema noted. All four extremities are of equal strength without drift. No gait disturbance. Questions:1. What is the most likely diagnosis for this gentleman, as well as possible differentials?2. What tests might you order for this patient?3. What medication(s) would you recommend?4. What could you recommend the patient do at home to help reduce symptoms?5. The patient mentions he doesn’t like taking medicine or coming to the clinic. What would you do to encourage this potentially non-compliant patient?