History of drug abuse and possible Hepatitis C

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

Instructor/Facilitator help:

1. One short paragraph on three differential diagnoses. Do not just say “symptoms are vague, no diagnoses possible, I will just do further assessment.”

Subjective & Objective information are intentionally provided vague (as a clinical case) so that you can develop a couple of pharmacological cases & discuss.

2. One short paragraph on how you will pharmacologically treat the three diagnoses you listed (Pharmacological Plan).

3. One short-short paragraph on Synthroid, Nifedipine, a peripheral calcium channel blocker & prednisone an antiinflammatory immunosuppressor (pharmacological information) and why patient was on these drugs, discussion based on your objective & assessment.

Briefly state the mechanism of action and therapeutic applications of these agents.