Reference no: EM133999390
Question
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: HTN, Type II DM, Gout, DVT - Caused by oral BCPs. Vitals: Temp: 98.8oF, BP: 136/82, HR: 82 bpm, Wt: 202 lbs, Ht: 5'8". Current Medications: Lisinopril 10 mg daily, HCTZ 25 mg daily, Allopurinol 100 mg daily, Multivitamin daily. Notable Labs: WBC: 13,000/mm3, Total bilirubin: 0.8 mg/dL, Direct bilirubin: 0.6 mg/dL, 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: Warm and dry Neuro: Alert and Oriented Psych:
Explain your diagnosis for the patient, including your rationale for the diagnosis. Describe 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.