Health & Medical Question

To Prepare

Review the case study assigned by your Instructor for this Assignment

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:bNondistended, minimal tenderness
• Skin:bWarm and dry
• Neuro: Alert and Oriented
• Psych:bAppropriate mood

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