Mark is a 45-year-old male who presents with a 24-hour history of RUQ pain. He states the pain started about 1 hour after a large dinner he had with his friends. He has had nausea and on instance of vomiting before presentation. Medical history include Gout, Hypertension, and Deep vein thrombosis (as a result of oral BCPs). His current medications include: Lisinopril 10 mg, Hydrochlorothiazide 25 mg a day, Allopurinol 100 mg daily, and multivitamin daily. Lab values are: Alk Phos 100u/l, direct bilirubin 0.6mg/dl, total bilirubin is 0.8mg/dl. WBC is13, 000/mm3, ALT: 30 U/L, AST: 45 U/L. He is allergic to the following: Latex, Codeine, and Amoxicillin. Physical examination revealed the following: Eyes: EOMI, HENT: Normal GI: bNondistended, minimal tenderness, Skin: bWarm and dry, Neuro: Alert and Oriented. Psych:bAppropriate mood
Address the following:
Explain your diagnosis for the patient, including your rationale for the diagnosis.
Describe an appropriate drug therapy plan based on the patients history, diagnosis, and drugs currently prescribed.
Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
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