History of RUQ pain

Write a 1-page paper that addresses the following: • 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. 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 one instance of vomiting before presentation. PMH: Vitals: HTN Temp: 98.8oF Type II DM Wt: 202 lbs Gout Ht: 5’8” DVT – Caused by oral BCPs BP: 136/82 HR: 82 bpm Current Medications: Notable Labs: Lisinopril 10 mg daily WBC: 13,000/mm3 HCTZ 25 mg daily Total bilirubin: 0.8 mg/dL Allopurinol 100 mg daily Direct bilirubin: 0.6 mg/dL Multivitamin daily Alk Phos: 100 U/L AST: 45 U/L ALT: 30 U/L Allergies: • Latex • Codeine • Amoxicillin PE: • Eyes: EOMI • HENT: Normal • GI:Nondistended, minimal tenderness • Skin:Warm and dry • Neuro: Alert and Oriented • Psych:Appropriate mood Have a great week. Dr. Foster