Dyslipidemia Cases Fall 2012 (1)

1 2 3 4 5 0 0 0 0 0 1 1 2 2 3 3 4 4 5 5 patient case

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1 2 3 4 5 0% 0% 0% 0% 0% 1. 1 2. 2 3. 3 4. 4 5. 5
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Patient Case #4 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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What is the patient’s Framingham risk score? 4% 8% 10% 12% 0% 0% 0% 0% 1. 4% 2. 8% 3. 10% 4. 12%
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Patient Case #4 Age: 10 points TC: 1 points Non-smoker: 0 pts HDL: -1 points SBP: 2 points Total Points:  12 pts FRS: 10%
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Patient Case #4 Summary Risk factors: 2 Framingham risk score: 10% Risk category: moderately-high
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Patient Case #4 Calculate the patient’s LDL 234 – 64 – (180/5) = 134 mg/dL LDL goal:  < 130 mg/dL Non-HDL goal: < 160 mg/dL HDL goal: > 40 mg/dL
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How many criteria for metabolic syndrome does the patient have? 1 2 3 4 5 0% 0% 0% 0% 0% 1. 1 2. 2 3. 3 4. 4 5. 5
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Patient Case #4: Metabolic Syndrome 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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