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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

Write a 1-page paper that addresses the following:

· Review the case study

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

· Explain your diagnosis for the patient, including your rationale for the diagnosis 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.

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

· Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.