Pharmacology

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:Vitals:HTNTemp:  98.8oFType II DMWt:       202 lbsGoutHt:        5’8”DVT – Caused by oral BCPsBP:       136/82HR:       82 bpm

Current Medications:Notable Labs:Lisinopril 10 mg dailyWBC:                13,000/mm3HCTZ 25 mg dailyTotal bilirubin:    0.8 mg/dLAllopurinol 100 mg dailyDirect bilirubin:  0.6 mg/dLMultivitamin dailyAlk Phos:           100 U/LAST:                   45 U/LALT:                   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