Bill is a 48-year-old self-employed

Bill is a 48-year-old self-employed plumber who sees you occasionally for a recurrent cough and upper respiratory tract infections. He:
has no significant past medical history
is taking no medicines
has no known allergies
is a regular smoker and has been since his teens
drinks a couple of stubbies a night and a bit more on the weekend .
You have recently introduced a policy in your practice of the practice nurse doing a set of observations on a patient before the patient is called in to see the doctor.
Bill has come to see you for another cold that has gone to my chest . You note the nurse s observations are:
temperature 37°C
Pulse rate 78, regular
blood pressure (BP) 148/94 mmHg repeat BP 144/92 mmHg