“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.
HTN, anxiety, dyslipidemia, GERD
Father and mother both alive with HTN and dyslipidemia; sister is alive with no known medical issues.
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.
Amlodipine 10 mg PO daily
Alprazolam 1 mg PO TID PRN for anxiety
Simvastatin 20 mg PO daily
Omeprazole 40 mg PO daily
Acetaminophen 325 mg PO PRN for headache
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
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
WBC: 6 × 109 cells/L
Glucose: 80 mg/dL
Albumin: 3.8 mg/dL
Hgb: 15 g/dL
BUN: 15 mg/dL
T bili: 0.8 mg/dL
SCr: 0.9 mg/dL
AST/ALT: 50 IU/L / 50 IU/L
K: 4 mEq/L...