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Mark is a 45-year-old male who presents with a 24-hour historical past of RUQ ache. He states the ache began about 1 hour after a big dinner he had along with his pals. He has had nausea and on occasion of vomiting earlier than presentation. Medical historical past embody Gout, Hypertension, and Deep vein thrombosis (because of oral BCPs). His present medicines embody: Lisinopril 10 mg, Hydrochlorothiazide 25 mg a day, Allopurinol 100 mg each day, and multivitamin each day. Lab values are: Alk Phos 100u/l, direct bilirubin zero.6mg/dl, whole bilirubin is zero.8mg/dl. WBC is13, 000/mm3, ALT: 30 U/L, AST: 45 U/L. He’s allergic to the next: Latex, Codeine, and Amoxicillin. Bodily examination revealed the next: Eyes: EOMI, HENT: Regular GI: bNondistended, minimal tenderness, Pores and skin: bWarm and dry, Neuro: Alert and Oriented. Psych:bAppropriate temper
Handle the next:
· Clarify your prognosis for the affected person, together with your rationale for the prognosis.
· Describe an applicable drug remedy plan based mostly on the affected person’s historical past, prognosis, and medicines at present prescribed.
· Justify why you’ll advocate this drug remedy plan for this affected person. Be particular and supply examples.
