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
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