Case Study – Reflect on the patient’s symptoms, medical history
CASE STUDY
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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.
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PMH: |
Vitals: |
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HTN |
Temp: 98.8oF |
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Type II DM |
Wt: 202 lbs |
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Gout |
Ht: 5’8” |
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DVT – Caused by oral BCPs |
BP: 136/82 |
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HR: 82 bpm |
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Current Medications: |
Notable Labs: |
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Lisinopril 10 mg daily |
WBC: 13,000/mm3 |
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HCTZ 25 mg daily |
Total bilirubin: 0.8 mg/dL |
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Allopurinol 100 mg daily |
Direct bilirubin: 0.6 mg/dL |
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Multivitamin daily |
Alk Phos: 100 U/L |
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AST: 45 U/L |
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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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