Mark is a 45-year-old male who presents with a 24-hour history of RUQ ache. He states the ache began about 1 hour after a massive dinner he had with his pals. He has had nausea and on occasion of vomiting earlier than presentation. Medical history embody Gout, Hypertension, and Deep vein thrombosis (as a outcome of oral BCPs). His present drugs 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 is 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 analysis for the affected person, together with your rationale for the analysis.
· Describe an applicable drug remedy plan primarily based on the affected person’s history, analysis, and medicines at the moment prescribed.
· Justify why you’d advocate this drug remedy plan for this affected person. Be particular and supply examples.
