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check1.docx - CC: “I woke up this morning at 6 a.m. with...

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CC: “I woke up this morning at 6 a.m. with numbness in my left arm and pain in mychest. It feels tight right here (mid-sternal).” “My dad had a heart attack when he was56-years-old and I am scared because I am 56-years-old.”HPI: Patient is a 56-year-old Caucasian male who presents to Express HospitalEmergency Department with a chief complaint of chest pain that radiates down his leftarm. He states this started this morning and has been getting worse, pointing to themid-sternal area, “it feels like an elephant is sitting on my chest and having a hard timebreathing”. He rates the pain as 9/10. Nothing has made the pain better or worse. Hedenies any previous episode of chest pain. Denies nausea, or lightheadedness.Nitroglycerin 0.4 mg tablet sublingual x 1 which decreased pain to 7/10.Lipid panel reveals Total Cholesterol 424 mg/dl, high density lipoprotein (HDL) 26 mg/dl,Low Density Lipoprotein (LDL) 166 mg/dl, Triglycerides 702 mg/dl, Very Low-DensityLipoprotein (VLDL) 64 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.Question:Which cholesterol is considered the “good” cholesterol and what does it do?High density lipoprotein (HDL) is considered the “good” cholesterol for severalreasons. Its primary benefit is that of reverse cholesterol transport, meaningtransportation out of the bloodstream and away from vital organs as well aspreventing accumulation against vessel walls. HDL transports this excesscholesterol to the liver so that it may be metabolized and excreted from the body.

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Term
Spring
Professor
N/A
Tags
Atherosclerosis, 56 years old

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