Dyslipidemia Cases Fall 2012 (1)

All of the above 0 0 0 0 0 11 1 tg 11 1 hdl 11 1 bp 1

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All of the above 0% 0% 0% 0% 0% 11 1  TG 11 1  HDL 11 1  BP 1 4 1  FBG 5. All of the above
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Patient Case #3 A 36 yo AA female presents to clinic for a follow-up visit.   Her PMH is nonsignificant (newly established patient), other  than elevated blood pressure at last visit 2 weeks ago  (138/76 mmHg).  She is not currently on any medications  and has not been routinely followed in the last 8 years.  She  is a non-smoker. Her family history is significant for diabetes  (mother). Vitals include: BP 144/82 mmHg; HR 70 bpm; Wt 200 lbs; Ht  5’4” Her labs from last week include: TC = 189 mg/dL TG = 135 mg/dL HDL = 55 mg/dL FPG:  112 mg/dL
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Do you need to calculate a Framingham risk score? Yes No 0% 0% 1. Yes 2. No
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Patient Case #3 A 36 yo AA female presents to clinic for a follow-up visit.   Her PMH is nonsignificant (newly established patient), other  than  elevated blood pressure at last visit 2 weeks ago  (138/76 mmHg).   She is not currently on any medications  and has not been routinely followed in the last 8 years.  She  is a non-smoker. Her family history is significant for diabetes  (mother). Vitals include:  BP 144/82 mmHg ; HR 70 bpm; Wt 200 lbs; Ht  5’4” Her labs from last week include: TC = 189 mg/dL TG = 135 mg/dL HDL = 55 mg/dL FPG:  112 mg/dL
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Patient Case #3 Summary Risk factors: 1 No CHD or CHD risk equivalence: -> do NOT need to calculate a Framingham  risk score Risk category: low
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Patient Case #3 Calculate the patient’s LDL 189 – 55 – (135/5) = 107 mg/dL LDL goal:  < 160 mg/dL Non-HDL goal: < 190 mg/dL HDL goal: > 50 mg/dL
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Patient Case #4 A 64 yo Caucasian male presents to clinic for a routine check-up.   His PMH is significant for HTN and ED.  His is a non-smoker and  drinks alcohol occasionally.  His medications include  hydrochlorothiazide 25mg PO daily and losartan 25mg PO daily (for  hypertension) and sildenafil 50mg PO PRN (for ED).  His family  history is significant for heart disease (mother alive at 82, MI age 64;  father alive and well at age 83) Vitals: BP 150/88 mmHg, HR 82 bpm, Wt 240 lbs, Ht 5’10”; waist  circumference 44” His labs include: FPG: 98 mg/dL TC = 234 mg/dL TG = 180 mg/dL HDL = 64 mg/dL  
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How many CVD risk factors does the patient have?
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