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I am working on a case study for pharmacology class 58

Sent to Health Experts March 22, 2006 5:22 p.m.

I am working on a case study for pharmacology class 58 African American male hx hypertension ,renal insufficiency,gastric ulcer 8 yrs ago d/t etoh abuse had EGD.STOPPED ETOH USE AT THAT TIME.7 days ago he was placed on indocin and flexeril for muscle strain.Regular medications(asa325qd,Micro k,Zestoretic20/25 ,advil prn,tagamet prn)also hx l ventricular hypertrophy.Presants today c/o abd pain 4/10,cramping typre pain,mild congestion and sobsymptoms started 5 days ago pt feels like he may have flu.Examination :slight bibasilar ralse,+1 edema lower ext.+JVD,SOME DIFFICULTY WITH URINATION vs BP 133/90 ,pulse 80 r 18 temp 99 also 5 lbs wt gain wt 185,ht 5ft.9.

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Status: Closed Value: $30

Answer
March 22, 2006 6:03 p.m. (41 minutes and 38 seconds later)

REPLIED

What exactly are you looking for, diagnosis, workup? It's an interesting case, but appears to have a few things going on, so what answers are you looking for?

Let me know, and I'll see if we can't figure this out for you. Take care

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Jonathan Fay, M.D. -- Doctor (MD) -- 100% Positive Feedback on 533 Health Accepts
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Reply to Jon Fay
Sent March 22, 2006 6:32 p.m. (28 minutes and 41 seconds later)

He wants me to identify the toxicities of NSAIDS dthat the patient is exhibiting? And how can these toxicities be treated or minimized? I know the PA never did blood work and the patient already has hx. of renal insufficiency.

Customer (name blocked for privacy)

Answer
March 22, 2006 7:08 p.m. (36 minutes and 20 seconds later)

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Jonathan Fay, M.D. -- Doctor (MD) -- 100% Positive Feedback on 533 Health Accepts
Physician health consultant

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