(please refer to the case below to answer the following two…
(please refer to the case below to answer the following two (2) questions) AK is a 50-year-old man who presents to your clinic today with diffuse muscle pain in his lower back and lower extremities. His medications have been stable for at least 6 months except for the addition of clarithromycin which was prescribed 2 days ago for an upper respiratory infection. His most recent blood pressure reading was 120/70 mm Hg and heart rate 76 beats/min. AK’s most recent lipid panel was high density lipoprotein (HDL) cholesterol = 60 mg/dL, triglycerides = 150 mg/dL, and total cholesterol = 190 mg/dL. Current laboratory results include: creatine kinase (CK)= 12300 units/L (normal range males, : 40-200 IU/L) aspartate transaminase= 30 units/L (normal range: 8-42 IU/L) alamine transaminase (ALT)= 20 units/L (normal range: 3-30 IU/L) PMH Meds HTN x 10 yrs Hydrochlorothiazide 25 mg po daily Hypercholesterolemia Atorvastatin 20 mg/day Clarithromycin 500 mg 2 times daily for 7 days Aspirin 325 mg daily Multivitamin daily FH All: NKDA Father died age 44 from MI Mother alive and well 1 sister age 25 alive and well SH Housekeeper for local hospital Tobacco: cigarettes ½ ppd since age 16 EtOH: 1 glass of red wine every night Physical activity: exercises 3 x week > 30 minutes
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