Problem
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 an instance of vomiting before the presentation.
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PMH:
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Vitals:
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HTN
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Temp: 98.8oF
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Type II DM
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Wt: 202 lbs
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Gout
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Ht: 5'8"
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DVT - Caused by oral BCPs
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BP: 136/82
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HR: 82 bpm
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Current Medications:
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Notable Labs:
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Lisinopril 10 mg daily
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WBC: 13,000/mm3
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HCTZ 25 mg daily
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Total bilirubin: 0.8 mg/dL
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Allopurinol 100 mg daily
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Direct bilirubin: 0.6 mg/dL
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Multivitamin daily
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Alk Phos: 100 U/L
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AST: 45 U/L
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ALT: 30 U/L
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Allergies:
a) Latex
b) Codeine
c) Amoxicillin
PE:
a) Eyes: EOMI
b) HENT: Normal
c) GI: Nondistended, minimal tenderness
d) Skin: Warm and dry
e) Neuro: Alert and Oriented
f) Psych: Appropriate mood
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.