To Prepare

· Review the case study assigned by your Instructor for this Assignment- BELOW

· Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

· Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.

· Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Week 4 Assignment

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on instance of vomiting before presentation.

PMH:	Vitals:
HTN	Temp:  98.8oF
Type II DM	Wt:       202 lbs
Gout	Ht:        5’8”
DVT – Caused by oral BCPs	BP:       136/82
	HR:       82 bpm

 

Current Medications:	Notable Labs:
Lisinopril 10 mg daily	WBC:                13,000/mm3
HCTZ 25 mg daily	Total bilirubin:    0.8 mg/dL
Allopurinol 100 mg daily	Direct bilirubin:  0.6 mg/dL
Multivitamin daily	Alk Phos:           100 U/L
	AST:                   45 U/L
	ALT:                   30 U/L

Allergies:

· Latex

· Codeine

· Amoxicillin

PE:

· Eyes: EOMI

· HENT: Normal

· GI: non-distended, minimal tenderness

· Skin: warm and dry

· Neuro: Alert and Oriented