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: Nondistended, minimal tenderness
• Skin: Warm and dry
• Neuro: Alert and Oriented
• Psych: Appropriate mood
Review the case study above
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.
Write a 1-page paper that addresses the following:
1.Explain your diagnosis for the patient, including your rationale for the diagnosis.
2.Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
3.Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
