This is the scenario given… I diagnosed as cirrhosis mostly due to the AST/ALT ratio being 1.5 – A

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This is the scenario given… I diagnosed as cirrhosis mostly due to the AST/ALT ratio being 1.5 – Am I wrong? 

She is allergic to amox so I stated if she needs an antibiotic be weary of her allergy – Did I miss anything else with the allergies? 

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: 

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
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HEALTH SCIENCE
NURSING
NURS 6521

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