CASE SCENARIO - PATIENT HL PHAMACOTHERAPY FOR
HEPATOBILIARY DISORDERS
Pharmacotherapy for Hepatobiliary Disorders
Review of Case Study:
Patient HL comes into the clinic with the following symptoms of nausea,
vomiting, and diarrhea and has a history of drug abuse and possible Hepatitis
C. HL is currently on the following prescription drugs:
Synthroid 100 mcg daily for hypothyroidism
Nifedipine 30 mg daily for hypertension
Prednisone 10 mg daily for immune suppressant
History of Present Illness
Patient presents with symptoms of diarrhea, nausea and vomiting. From
his current medications list, patient HL.As stated above, he’s taking Synthroid 100
mg daily for the treatment of hypothyroidism, Nifedipine 30mg daily for high
blood pressure or any form of angina, and prednisone 10mg daily for anti-
inflammation or immune suppressant for multiple diseases.( Drugs.com,
2015).Patient also has a history of drug abuse as well as possible Hepatitis C.
Primary Diagnosis
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, Although a comprehensive history and physical examination, diagnostic
workup is needed to come up with a primary diagnostic, based on the
presenting symptoms; I will give a primary diagnosis of acute
gastroenteritis. With gastroenteritis, your stomach and intestines
are irritated and inflamed. The cause is typically a viral or bacterial
irritation/inflammation of the stomach and intestines caused by food
contaminated with bacteria, viruses, parasites, or toxins. Symptoms may include
cramping, nausea, vomiting, or diarrhea. The illness usually spreads easily from
contact with a sick person or eating or drinking contaminated food or beverages
also will spread the illness. The symptoms usually appear days after contamination
and last one to three days. (WebMD, 2015). Since this patient is presenting
nausea, vomiting and diarrhea and no fever, I will conclude with acute bacterial
gastroenteritis. (WebMD, 2015).
Differential Diagnosis.
Based on the patient’s history of drug abuse which could be IV drug
use and presenting symptoms, I will come up with a differential
This study source was downloaded by 100000842568006 from CourseHero.com on 03-26-2022 18:21:31 GMT -05:00
https://www.coursehero.com/file/25718453/Case-scenariodocx/
HEPATOBILIARY DISORDERS
Pharmacotherapy for Hepatobiliary Disorders
Review of Case Study:
Patient HL comes into the clinic with the following symptoms of nausea,
vomiting, and diarrhea and has a history of drug abuse and possible Hepatitis
C. HL is currently on the following prescription drugs:
Synthroid 100 mcg daily for hypothyroidism
Nifedipine 30 mg daily for hypertension
Prednisone 10 mg daily for immune suppressant
History of Present Illness
Patient presents with symptoms of diarrhea, nausea and vomiting. From
his current medications list, patient HL.As stated above, he’s taking Synthroid 100
mg daily for the treatment of hypothyroidism, Nifedipine 30mg daily for high
blood pressure or any form of angina, and prednisone 10mg daily for anti-
inflammation or immune suppressant for multiple diseases.( Drugs.com,
2015).Patient also has a history of drug abuse as well as possible Hepatitis C.
Primary Diagnosis
This study source was downloaded by 100000842568006 from CourseHero.com on 03-26-2022 18:21:31 GMT -05:00
https://www.coursehero.com/file/25718453/Case-scenariodocx/
, Although a comprehensive history and physical examination, diagnostic
workup is needed to come up with a primary diagnostic, based on the
presenting symptoms; I will give a primary diagnosis of acute
gastroenteritis. With gastroenteritis, your stomach and intestines
are irritated and inflamed. The cause is typically a viral or bacterial
irritation/inflammation of the stomach and intestines caused by food
contaminated with bacteria, viruses, parasites, or toxins. Symptoms may include
cramping, nausea, vomiting, or diarrhea. The illness usually spreads easily from
contact with a sick person or eating or drinking contaminated food or beverages
also will spread the illness. The symptoms usually appear days after contamination
and last one to three days. (WebMD, 2015). Since this patient is presenting
nausea, vomiting and diarrhea and no fever, I will conclude with acute bacterial
gastroenteritis. (WebMD, 2015).
Differential Diagnosis.
Based on the patient’s history of drug abuse which could be IV drug
use and presenting symptoms, I will come up with a differential
This study source was downloaded by 100000842568006 from CourseHero.com on 03-26-2022 18:21:31 GMT -05:00
https://www.coursehero.com/file/25718453/Case-scenariodocx/
