Hyperglyceridemia (fundoscopic)

Hyperglyceridemia (fundoscopic) - Learning Issue:...

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Learning Issue: Hyperglyceridemia (fundoscopic exam) · Don’t Miss This: Ophthalmologic: Triglyceride levels of 4000 mg/dL or higher may cause a condition known as lipemia retinalis, in which funduscopic examination reveals retinal blood vessels (and occasionally the retina) that have a pale pink, milky appearance. · Definition: Hypertriglyceridemia (hTG), a condition in which triglyceride levels are elevated. · Causes: Genetic abnormities in the enzyme pathway for chylomicron metabolism. Metabolic causes: Diabetes, obesity, hypothyroidism, nephrotic syndrome. Drugs and alcohol. High carbohydrate diet (>60%). Acute pancreatitis and pregnancy. · Risk Factors or Predisposing Factors: obesity, diabetes, alcohol use, · Epidemiology: U.S. adults >20 approx. 35% in men and 25% in women. Severe cases of triglycerides > than 2000 mg/dL is estimated to be 1.8 cases per 10,000 white adults, and higher in patients with diabetes or alcoholism. · Pathophysiology:
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