Pharmacy response III

Discuss gestational diabetes/respond to this post

 

In essence, gestational diabetes is diabetes that appears during pregnancy. Although the cause is unknown, some think HLA antigens might be involved (StatPearls, 2023). Additionally, it’s assumed that high proinsulin levels contribute to gestational diabetes, and some research suggests that proinsulin may cause beta-cell stress (StatPearls, 2023). Elevated levels of hormones such as progesterone, cortisol, prolactin, human placental lactogen, and estrogen may impact peripheral insulin sensitivity and beta-cell activity (StatPearls, 2023).

Pharmacy response ii

Respond to the post (Talk about the intolerance piece of metformin such as the GI side effects etc) 

Metformin for Treatment of Type 2 Diabetes

Metformin is part of the first treatment step in the four-step treatment approach. Metformin works in several different ways to manage blood glucose levels. One way is inhibiting glucose from being produced in the liver. Another way is that it slightly reduces glucose from being absorbed in the digestive tract. It also increases glucose uptake in tissues such as fat and skeletal muscle by increasing the sensitivity of insulin receptors. 

One of the positives of treatment with metformin is that there are few side effects, and because it does not actively reduce blood sugar, there is hardly any risk of hypoglycemia. The most common side effect is gastrointestinal issues. Although it is not common, the severe side effect is metabolic acidosis and is mainly a concern in patients with impaired renal function. 

Metformin is prepared as an oral medication; either an immediate-release or extended-release tablet or an oral solution is available. Metformin should be taken with food to avoid gastrointestinal upset side effects (Corcoran & Jacobs, 2022). 

DUE 6/24 CASE STUDY ASSIGNMENT: ASSESSING THE HEAD, EYES, EARS, NOSE, AND THROAT

Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge. 

 

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

 

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.  
  • Consider what physical exams (Focused respiratory assessment at minimum******* and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? (diagnostic testing: Flu swab, COVID swab, RSV swab, strep throat swab)*****
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient*** (1. RSV 2. Ear infection 3. strep throat 4. sinusitis 5. rhinovirus)

 

***** I ONLY NEED HELP WITH THE DIFFERENTIAL DIAGNOSIS SECTION. I WILL COMPLETE THE REST. ***** 

50 Real-world Examples Of Embedded Techniques Coderus Embedded Software Guides

Smartphones are a main instance of how embedded systems integrate into client electronics to provide a multifunctional person expertise. These units use a number of embedded processors to handle diverse functionalities corresponding to touch input, digital camera operations, and connectivity. Automation is revolutionizing embedded software program testing by rising effectivity, accuracy, and consistency throughout validation workflows. Given the complexity of recent embedded methods and the demand for faster time-to-market, guide testing is now not sufficient.

Automation In Embedded Software Testing

The embedded techniques are used extensively in large-scale industries for big machinery and electrical units. They have become well-liked over a short period due to the unique options like designs and sizes they supply at inexpensive prices. Embedded techniques have been included into the medical trade for quite some time now. They are regularly used to diagnose problems in sufferers who need constant and regular monitoring.

Stand-alone Embedded Systems

All of those units use embedded systems what is an embedded system to carry out specific duties and functions, minimizing consumer interplay. Embedded systems are designed to perform specific capabilities and are composed of hardware components and embedded software program. Embedded methods can also be integrated into bigger systems and have fixed performance.

Cobots, in particular, work alongside humans, enhancing productivity and security in manufacturing environments. Smart clothes, embedded with sensors and actuators, is one other thrilling software of embedded techniques within the wearable know-how space. These clothes can monitor very important signs, posture, and physique actions, offering useful insights for athletes, sufferers, and individuals looking for to enhance their well-being. ATMs work on embedded techniques as all the processes that it performs are over a computerized machine. It communicates with the host laptop over a selected network and carries out the directions according to the command entered by the customer.

However it is not our traditional laptop system or general-purpose computer systems, these are the Embedded techniques that may work independently or attached to a larger system to work on a couple of specific features. These embedded methods can work without human intervention or with little human intervention. He started his career designing and writing code for client electronics, industrial automation and automotive methods. Progressive embedded systems bring quite a few benefits, together with improved effectivity, enhanced functionality, increased connectivity, and automation.

examples of an embedded system

So, there might be https://www.globalcloudteam.com/ a program that controls all aspects of the washer internally talking. And there might be an app that the person can control, and from there, the person can activate the totally different washing cycles the sensible washer has programmed into his embedded system. Digital thermostats use embedded methods to manage heating or cooling methods based on temperature settings and consumer preferences. Embedded methods in digital cash registers facilitate transaction processing, stock management, and receipt printing. Embedded systems in ATM machines manage transaction processing, person authentication, and money allotting in automated teller machines.

Embedded methods are designed for dedicated functions and are built-in into bigger methods. Not Like general-purpose computer systems, which might handle a broad vary of tasks, embedded systems are optimized for specific functions, providing enhanced efficiency and efficiency. Actuators are important components in embedded methods that enable bodily control and interplay with the environment. They are used in a broad range of purposes, together with robotics, automation, automotive techniques, aerospace, medical gadgets, and lots of other fields where mechanical motion or management is required.

Embedded systems are tiny computer systems constructed into everyday issues like automobiles, telephones, and even your fridge. They quietly work within the background, making these devices sensible and capable of doing all sorts of tasks without us even noticing. The gadget we built is a thermostat with a BLE module managed by native iOS and Android functions. Our embedded staff developed and tested the firmware for the thermostat using the newest kotlin application development BLE chip. Their gadget permits hospitals to enhance healthcare providers and optimize the workload on intensive care specialists.

examples of an embedded system

The options that have been launched in automotive techniques with the assistance of embedded methods have made advanced security measures even better. Embedded systems play a giant position in our every day routines, making issues easier and extra efficient. For instance, they help control visitors lights, regulate temperature in our homes, and even keep our hearts beating steadily with medical gadgets. If you’re trying to enhance your end users’ experiences by constructing a client electronics device, go for an embedded engineering vendor with versatile expertise. If you’re an gear producer or a vendor looking for a reliable industrial embedded techniques developer, you’re in the right place.

It is their specific features and versatility within a selected system that makes them ideal for various uses. Embedded systems are pc systems that are designed to carry out particular features inside a larger system. Their main task is to make specialized functions run extra effectively with minimal human interaction. There are a wide selection of embedded methods examples in a quantity of sectors and industrial operations. Inside, they embrace hardware parts similar to motors, pumps, sensors, and control panels.

  • As mentioned within the Brief version of the reply, any device that has a microcontroller chip inside normally runs embedded software program.
  • Android working system permits developers to develop sensible devices by using Android programming instruments.
  • They are sometimes embedded into varied units, ranging from family appliances to industrial machinery.

Before we transfer to the 7 actual life examples of embedded methods, let’s see the definition of this idea. Digital toys use embedded systems to supply interactive features, sound effects, and programmable functions for leisure and training. Blood glucose displays use embedded systems to measure blood glucose ranges, provide readings, and assist individuals handle diabetes.

By analyzing sensor information, these methods can alert drivers in the event that they unintentionally drift out of their lane, decreasing the danger of accidents. The embedded techniques are used in these charging stations to show the graphic designs on the display screen. These stations are meant for charging your electric car as they’ve charging items and factors outfitted with them. They are mostly used for charging automobiles, together with battery swapping or parking automobiles.

The Complete Introducing Broker IB Handbook, 2021: Executive Summary

All fees, commission and interest owed to the broker are first sent to the broker’s Master account and then swept nightly to the Proprietary Account for Broker-Dealers. IBKR GlobalAnalyst is designed for investors who are interested in international portfolio diversification. It helps you find new opportunities to diversify your portfolio and discover undervalued companies that may have greater growth potential. Your first three reclassifications are processed on a daily basis while subsequent reclassifications happen on a quarterly basis.

  • Our statements and reports cover real-time trade confirmations, margin details, transaction cost analysis, sophisticated portfolio analysis, tax optimization and more.
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  • I love FBS for many reasons, and most of my live accounts are with FBS, as I like their services, especially when testing new Forex robots.
  • Any references to past performance and forecasts are not reliable indicators of future results.
  • This is where IBs excel since they typically operate out of smaller offices located all over the country.

Our proprietary API and FIX CTCI solutions let institutions create their own automated, rules-based trading system that takes advantage of our high-speed order routing and broad market depth. Read more about the community’s response to global issues such as the COVID-19 pandemic and industry issues like the rise of the discount broker. IBs should test out the broker they are looking to work with by opening a live account themselves and actively using it. Another benefit IBs enjoy is that they are not limited to how much they can earn, and during what timeframe. Place trades online in either of two proprietary platforms – RJO WebOE or RJO Mobile Trader – both of which are free to use.

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Learn everything you need to know about copy trading and how it works in this guide. Learn everything you need to know about CFD trading and how it works in this guide. Milan is frequently quoted and mentioned in many financial publications, including Yahoo Finance, Business Insider, Barrons, CNN, Reuters, New York Post, and MarketWatch.

Trading on margin is only for experienced investors with high risk tolerance. For additional information about rates on margin loans, please see Margin Loan Rates. Security futures involve a high degree of risk and are not suitable for all investors. Before trading security futures, read the Security Futures Risk Disclosure Statement. Structured products and fixed income products such as bonds are complex products that are more risky and are not suitable for all investors.

Find a Futures Broker/CTA

You should read and understand these documents before applying for any AxiTrader products or services and obtain independent professional advice as necessary. Fill out this form to learn more about the Axi introducing broker programme. In this article, we will explain what an introducing broker (IB) is, what they do, and how to become one.

For new introducing brokers that don’t have a client base or only a small one, they may need to start on that plan. Experienced IBs with valuable business can always contact the broker and enquire about a custom plan. Hence, introducing brokers should select a broker with a great reputation who is regulated in at least one reputable jurisdiction (such as FCA, ASIC or SVG).

Introducing Broker Account Structure

View a list of industry service providers that support the futures industry and the NIBA. R.J. O’Brien pioneered the concept of bringing together Introducing Brokers to share business ideas and get an updated perspective on the markets. Since 1996, we’ve sponsored a two-day conference for all of our IBs each year. We all learn a lot about the markets and each other, and we have a lot of fun while we’re together.

introducing broker list

An application fee for principals and APs is not required if the individual is currently registered with the CFTC in any capacity or is listed as a principal of a current CFTC registrant. Only one application fee is required if the individual is filing an application as both an AP and principal. Among Europe’s significant trade partners, China’s foreign ministry, Turkey’s trade ministry and a U.S. official declined to comment on the launch. It is also meant to prevent them from losing out to foreign competitors while they invest to contribute to meeting EU targets to cut the bloc’s net emissions by 55% by 2030 from 1990 levels.

Exness Introducing Broker Program

Our statements and reports cover real-time trade confirmations, margin details, transaction cost analysis, sophisticated portfolio analysis, tax optimization and more. NFA’s directories and registries provide information about NFA Members and CFTC registrants, including, among other details, registration and membership status, NFA ID, and city, state, province (if applicable) and country. As a security precaution, these directories and registries are password protected. This information is not to be construed as a recommendation; or an offer to buy or sell; or the solicitation of an offer to buy or sell any security, financial product, or instrument; or to participate in any trading strategy. It has been prepared without taking your objectives, financial situation, or needs into account.

Unlocking Success: FYNXT’s Multi-Asset Broker Solutions – Finance Magnates

Unlocking Success: FYNXT’s Multi-Asset Broker Solutions.

Posted: Fri, 15 Sep 2023 07:00:00 GMT [source]

Each Advisor, Proprietary Trading STL and Multiple Hedge Fund master account holder can add client, sub and hedge fund accounts as required. Milan Cutkovic has over eight years of experience in trading and market analysis across forex, indices, commodities, and stocks. He was one of the first traders accepted into the Axi Select programme which identifies highly talented traders and assists them with professional development. IBs tend to have direct contact with their clients and offer specific services, while affiliates might simply promote the broker on their website, without offering any service to them. For example, I get most of my referrals through blogging and running a youtube page. With RoboForex’s extensive product offering, including forex, stocks, and cryptocurrencies, IBs can attract a diverse clientele and capitalize on the broker’s competitive trading conditions and technological innovations.

Top 10 Introducing Broker List for Forex Trading

A quick Google search would reveal many brokers are actively looking for partners to work with. Combining that with the regular commissions you earn on each referral’s trades and deposits will make a lot of earnings for you. Exness’ commitment to transparency, competitive trading conditions, and multilingual customer support enhance the overall value proposition for IBs and their referred clients. The program provides IBs access to real-time performance reports, custom referral links, and a user-friendly partner dashboard. Also, IBs partnering with FP Markets gain access to marketing resources, including banners, landing pages, and exclusive promotions.

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PHARMACOTHERAPY FOR GASTROINTESTINAL AND HEPATOBILIARY DISORDERS

Write a 1-page paper that addresses the following:

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

 

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. 

The patient has a history of drug abuse and possible Hepatitis C.

HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

This is a case study you do in a Grand Rounds (advanced clinician level brainstorming) style with the ‘Pharmacological Plan’ as the major part of your discussion.

Instructor/Facilitator help/suggestions:

1. Include three differential diagnoses. Do not just say “Symptoms are vague, no diagnoses possible, I will just do further assessment.” Subjective & Objective information are intentionally provided vague (as a clinical case) so that you can develop a couple of pharmacological cases & discuss.

2. Briefly address how you will pharmacologically treat the three diagnoses you listed (Pharmacological Plan).

3. Include why patient is on Synthroid, Nifedipine, a peripheral calcium channel blocker & prednisone an anti-inflammatory immunosuppressive agent (pharmacological information needed) and why patient was on these drugs, discussion based on your objective & assessment. Briefly state the mechanism of action of these agents.

4. Long discussions/stories of no relevance to advanced practice pharmacology will carry no value with this project.

5. Include NEWER AGENTS of cure for hepatitis C infection. Spell out the drug names. Discuss how these NEWER hepatitis C drugs of CURE work.

6. Include peer reviewed, scholarly articles of past 4 years as reference. 

7. Make it a Point you have Clinician Level Pharmacology in focus

Pharm discussion due June26

To Prepare:

  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

 

  • American Diabetes Association. (2018). Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetesLinks to an external site.—2018. Diabetes Care, 41(Supplement 1), S73–S85. Retrieved from http://care.diabetesjournals.org/content/41/supplement_1/s73.full-text.pdfThis article provides guidance on pharmacologic approaches to glycemic treatment as it pertains to treating patients with diabetes. Reflect on the content of this article as you continue to examine potential drug treatments for patients with diabetes.

Health Asmnt Due 6/17

Case 2: 1 year old overweight toddler who lives in a shelter with his underweight mother.

 

For this Assignment, you will consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

Assignment: Child Health Case: Include the following:

  • An explanation of the health issues and risks that are relevant to the child you were assigned.
  • Describe additional information you would need in order to further assess his or her weight-related health.
  • Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
  • Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
  • Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

 

https://www.cdc.gov/obesity/childhood/

Response II week II Hlth asmnt

Respond to peers post 

 

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

 

 

 

Case 1: Paloma Hernandez, 26 year-old, Spanish speaking patient who presents to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. The first visit the staff relied on her younger bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today.

 

The first thing to address is that a professional translator should have been utilized and encouraged for the first visit. Communication is key to understanding the patient’s concerns and addressing the reason for the visit. Relying on the patient’s daughter to translate is not going to be an accurate way to gather information. The patient is 26 years old so more than likely her daughter is twelve years old or younger and may not be able to accurately describe the abdominal pain and translate effectively. Utilizing professional interpreter ensures that communication is optimized, improves outcomes, and increases patient satisfaction. A barrier to utilizing a professional interpreter would be that it can be difficult to establish trust between the triad when involving an interpreter into the relationship that acts like a mediator for the message to be translated (Jungner et al., 2019). Hispanic population have additional barriers to receiving timely health care that can include a lower income and decreased likelihood to have obtained higher education. These barriers can make it difficult for this population to pay out of pocket medical care and many do not have adequate insurance. Once the communication barrier is taken care of the line of communication should be able to ask targeted questions to figure out the cause of the patient’s abdominal pain. The following would be targeted questions to obtain more information regarding the current symptoms as well as obtain more health history information (Escarce, 2006).

  1. How would you describe the pain?
    1. Knowing if the pain is dull, sharp, radiating, etc. is critical to ensuring the patient feels heard and gives a better hint of what the etiology of the pain may be from (Mayo Clinic, 2021).
  2. What does your typical diet consist of?
    1. Important to ask if there have been any recent dietary changes that could be causing abdominal pain.
  3. How much water do you drink daily?
    1. The body needs adequate water to function properly.
  4. Have you had any current difficulty with using the restroom? Burning or pain while using the bathroom or experienced any constipation?
    1. These questions are important because stool can tell a lot about a person’s health and UTIs and other infections related can cause abdominal pain. Also, it is important to ask if there has been any blood in the stool or urine.
  5. Do you have a history of GI complications?
    1. Knowing if a patient has chronic GI symptoms can improve treatment goals and help address if the underlying issue that is causing the pain could be related to chronic issues.
  6. Are you currently trying to become pregnant?
    1. Stomach pain and cramps are common with pregnancy, knowing if the patient is actively trying to conceive is important not only for being a possible cause for the pain, but to also know while prescribing any treatments (NHS, 2021).
  7. Traveled recently outside of the United States?
    1. Traveling outside of the United States can increase risk for developing GI complications due to drinking or eating contaminated water or food (Mayo Clinic, 2021).

Health Asm Response 1

 

 

 

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

 

Respond to the following: 

 

A comprehensive understanding of a patient’s inherent characteristics is indispensable in improving the quality of care. A nurse should consider a specific set of questions that they should ask to facilitate comprehension of a patient’s history. The questions should be framed in such a way that they are not insensitive to the patient’s background, lifestyle, or culture. A review of the patient in the assigned case study affirms that she is 26 years old and Spanish speaking. Her chief complaint is abdominal pain, which has been getting worse. During her first visit to the clinic, Paloma relied on her younger bilingual daughter as a translator. Paloma was advised to take over-the-counter medication. She had been put on Omeprazole. However, her situation has not improved. In her present visit, she presents with the same problem. The limitations in the information presented about her case make it difficult to discern the exact cause of the patient’s worsening abdominal pain.

It is essential to consider a patient’s socioeconomic factors in the development of a treatment plan. Arpey et al. (2017) attest there is evidence that socioeconomic status affects an individual’s health outcome and health care received; people within the lower socioeconomic bracket are more likely to have worse self-reported health, lower life expectancy, and suffer from more chronic conditions compared with those of higher socioeconomic status. Some of the socioeconomic variables to consider when interacting with Paloma include her financial status, employment status, and availability of social support. A close examination of the above factors will facilitate the development of a patient-centered approach to managing her abdominal pain.

            The second set of factors to consider during the interactions with Paloma are spiritual factors. The existing evidence suggests that spirituality affects multiple facets associated with access to healthcare services. For instance, Rego et al. (2020) document that greater spiritual well-being is often associated with less decisional conflict, decreased uncertainty, a feeling of being more informed and supported, and greater satisfaction with one’s decisions. In Paloma’s case, assessing Paloma’s spiritual or religious beliefs would be critical to understanding the impact of these aspects on her coping mechanism and decision-making related to her health. Besides, the knowledge may help them comprehend some of her cultural or religious practices that might influence her preferences regarding treatment and the involvement of spiritual leaders in healthcare decisions. Overall, consideration of Paloma’s spirituality would improve the prospects of positive patient outcomes.

            Similarly, lifestyle factors have a considerable impact on the health and well-being of an individual. A keen review of the factors may facilitate the adjustment of a treatment plan to suit the needs of an individual patient. Contemporary evidence on the subject asserts that lifestyle factors have a momentous influence on the health and well-being of an individual. For instance, Li et al. (2018) postulate that factors such as diet, activity, alcohol consumption, and BMI have a considerable impact on the life expectancy of an individual. In Paloma’s case, it would be useful to consider her diet and nutrition. The outcome of such an assessment would offer insight into potential dietary causes or aggravating factors for her abdominal pain. Besides, it would be useful to explore her level of engagement in physical activity, exercise routines, and sedentary behaviors to assess her overall fitness and potential lifestyle-related risk factors. A close review of the above variables would facilitate the development of a tailor-made treatment plan for Paloma.

            It would be useful to explore Paloma’s culture as she seeks healthcare services. The prevailing evidence suggests a patient’s cultural background can have a profound impact on their treatment and diagnosis options. Shepherd (2019) suggests that healthcare professionals should strive to improve their intercultural awareness for them to progress the quality of healthcare services. In Paloma’s case, it would be useful to consider her cultural norms, values, and expectations to enhance the provision of culturally sensitive care and tailor the treatment plan to align with her cultural preferences and beliefs.

            An interaction with Paloma would require a consideration of a few sensitive factors. Such includes language and communication; it would be useful to avail a translator/interpreter to facilitate quality interactions. Suarez et al. (2021) assert that patients stand to benefit greatly from the presence of medical interpreters that double up as cultural brokers or literacy guardians. Besides, it would be useful to consider her level of health literacy. The move will make it feasible to discern whether she understands the information presented to her. Overall, a consideration of the above variables would improve the quality of her experience with the healthcare services.

            The following set of questions would help build Paloma’s health history and risks:

  • Are there any factors that appear to trigger or worsen the pain?
  • Have you experienced similar episodes of abdominal pain in the past?
  • Does the pain radiate or spread to any other parts of your body?
  • Do you have any other symptoms, such as fever, jaundice, or urinary problems?
  • Are there any occupational or environmental exposures that might be relevant?