A 31-year-old Hispanic woman presents to the emergency department of her local hospital. She is complaining of abdominal pain, vomiting, and general malaise over the past 24 hours. She admits to having taken a “handful” of Lorcet and drinking “3 or 4 rum & cokes” the night before she started vomiting. She has no medical history of any other significant underlying physiologic disease states. There is also no history of recent surgeries. In addition to the Lorcet, she takes birth control pills daily and is also taking 10 mg Lexapro once daily for depression.You order as series of bloodwork panels, including a liver panel. You receive the following results:Alkaline phosphatase (ALP): 302 U/L (standard range: 41-133 U/L)Alanine aminotransferase (ALT): 351 (standard range: 7-56 U/L)Aspartate aminotransferase (AST): 1045 (standard range: 5-40 U/L)Total bilirubin: 3.33 mg/dL (standard range: 0.1-1.2 mg/dL)Pregnancy test: neg1. Based on this information, what is the initial diagnosis for this patient? What further information would you like to know to confirm your diagnosis?2. What do we need to know about the toxicokinetics and biotransformation of Lorcet and alcohol that may be important for determining the appropriate course of treatment?3. Might her ethnic and/or genetic background account for differences in toxicokinetics of these xenobiotics?4. What do you think is the mechanism of toxicity involved in her clinical symptoms?5. What would be your recommended treatment for this patient and why?
classassignmenthelp.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we\’ll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Why Hire classassignmenthelp.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
Source link