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Chief Complaint

“I want to get this Hepatitis C cured.”

History of Present Illness

PD is a 45-year-old Caucasian male who presents to the infectious diseases clinic seeking treatment for his chronic hepatitis C infection. He states that he was diagnosed with the disease a few years ago, but he’s not sure when he contracted it. He doesn’t remember having any symptoms related to the infection. He has never received any treatment for his hepatitis C.

Past Medical History

HTN, anxiety, dyslipidemia, GERD

Surgical History


Family History

Father and mother both alive with HTN and dyslipidemia; sister is alive with no known medical issues.

Social History

Former IV drug user and alcohol drinker, but clean and sober for 7+ years. No tobacco. Works repairing wheelchairs and scooters. Married with 2 children (12 and 4 years). Enjoys playing sports and doing outdoor activities with wife and children.



Home Medications

Amlodipine 10 mg PO daily

Alprazolam 1 mg PO TID PRN for anxiety

Simvastatin 20 mg PO daily

Omeprazole 40 mg PO daily

Multivitamin PO daily

Acetaminophen 325 mg PO PRN for headache

Physical Examination

Vital Signs

Temp 98.8°F, P 82 bpm, RR 18 breaths per minute, BP 127/78 mm Hg, pO2 99%, Ht 6′, Wt 101 kg


Normal appearing male in no apparent distress, well groomed


Nomocephalic, atraumatic, PERRLA, EOMI, b/l sclera anicteric, moist mucous membranes, poor dentition


Clear to auscultation, no use of accessory muscles, no cracks or wheezes


NSR, no m/r/g


Soft, non-distended, non-tender, normal bowel sounds


Normal male genitalia, no complaints of dysuria or hematuria


Alert and oriented × 3, CN 2-12 grossly intact


No edema, cyanosis, or clubbing


Intact, w/o rashes or lesions, or erythema

Laboratory Findings

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WBC: 6 × 109 cells/L

Glucose: 80 mg/dL

Albumin: 3.8 mg/dL

Hgb: 15 g/dL

BUN: 15 mg/dL

T ...

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