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Home > Education Center> Case Studies > April 2003 > History

History

Pt is a 65yo white female with h/o hypertension, cerebral palsy, osteoporosis, hyperlipidemia who presents with jaundice for 2 weeks. She denies any abdominal pain, nausea, vomitting, weight loss, or anorexia. She had no change in her bowel habits. The patient does complain of abdominal "bloating" and fullness for 3 months. She denies any new medications, herbal, or over-the-counter medications. She does not drink alcohol.

Past Medical History: Hypertension, hyperlipidemia, cerebral palsy, osteoporosis

Past Surgical History: D&C

Family History: sister and cousin with adult polycystic kidney disease, no history of colon cancer or inflammatory bowel disease

Social History: No tobacco, alcohol, illicit drug use. Patient is a married daycare worker.

Medications: actonel, diltiazem, hydrochlorothiazide, premarin, aspirin. No herbal or over-the-counter medications.

Allergies: NKDA.




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