A 62-year old male(non-smoker, no known allergies) has the following medical conditions:


Characteristics of angina commonly include a sensation of pressure, heavy weight, burning, or tightness over the sternum or near to it. The pain may radiate to, or occassionally be limited to, the left arm, shoulder, or other areas. The sensation gradually increases in intensity and then gradually disappears with rest. The duration is usually between 30 seconds and 30 minutes.


Hypertension is defined by persistent elevation of arterial blood pressure.


Hyperlipidemia is defined as an elevation of one or more of the following: cholesterol, cholesterol esters, phospholipids or triglycerides. Abnormalities of plasma lipids can result in a predisposition to coronary, cerebrovascular, and peripheral vascular arterial disease.

He is taking the following medications:

Irbesartan 300mg mane(what does ''mane'' mean?)
Used for treatment of hypertension and prevention of renal disease progression in patients with type 2 diabetes, hypertention and microalbuminuria.

Gemfibrozil 600mg bd(twice daily)
Used in treatment of severe hypertriglyceridaemia, mixed hyperlipidaemia and dyslipidaemia associated with diabetes, and used to reduce risk of coronary heart disease in hypercholesterolaemia.

Glyceryl Trinitrate Tablets 600mcg; half to one prn(when necessary)
Used in the prevention and treatment of stable and angina and heart failure associated with acute myocardial infarction. Provides exogenous source of nitric oxide. Predominantly venodilators and reduces venous return and preload to the heart, reducing myocardial oxygen requirement.

Glyceryl Trinitrate spray 400mcg (1 spray when required); use prn
Also known as nitroglycerine and GTN. It is used in the treatment of angina by providing an exgenous source of nitric oxide which mediates vasodilator effects.

His medical test results are:

-Blood Pressure 140/90

-Liver Function Test
Total protein=63g/L(normal 60-80g/L);Albumin 27g/L(normal 35-52g/L);ALT=19U/L(normal 38-126U/L);GGT=154U/L(normal 12-43U/L);ALP=177(normal 38-126U/L)

Question 1: From the liver function test results, what information can we obtain regarding the patient is medical condition?

Question 2: What further diagnostic tests are needed to know more about the patient is medical condition(including diabetes due to heavy weight)?

Question 3: What are the appropriate therapies(what medicines, and dosage for each?) for effective treatment, avoidance of side effects, increased compliance, and cost-effectiveness?

Question 4: Without other symptoms, the patient shows dry cough. What is the cause of this cough?

normally old people cannot recovery all cell like human body culture thats why need to bed rest & keeping condition place.its good for oldman.if you try noly medecine cannot success for life.need to keeping pshylogy system you can consolt near your pshylogycal tretment.thank you .

Too big a question. Please split up.