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Dyslipidemia

Dyslipidemia. CASE 5A. Aling D., 62 years old female who came in for a General Check-up. General Data. Pertinent Information. Aling D., 62/F, came in for general check-up Smoker (20-pack years) Frequently eats fatty food Sedentary lifestyle

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Dyslipidemia

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  1. Dyslipidemia CASE 5A

  2. Aling D., 62 years oldfemalewho came in for aGeneral Check-up General Data

  3. Pertinent Information Aling D., 62/F, came in for general check-up • Smoker (20-pack years) • Frequently eats fatty food • Sedentary lifestyle • Father had history of ischemic cerebrovascular disease and MI at 38 y/o • Urinalysis, CBG, EKG returned normal • CXR: Atherosclerotic aorta • PE: essentially unremarkable

  4. Laboratory Results

  5. Step 1 Diagnosis and Risk Assessment

  6. Diagnosis and Risk Assessment • LOW RISK: < 3 of the following* • Hypertension • Familial hypercholesterolemia • LVH • Smoking • Family history of CAD • Male sex • Age > 55 years old • Proteinuria • Albuminuria • BMI ≥ 25 * CPG on Management of Dyslipidemia in the Philippines

  7. Diagnosis and Risk Assessment • LOW RISK: < 3 of the following* • Hypertension • Familial hypercholesterolemia • LVH • Smoking • Family history of CAD • Male sex • Age > 55 years old • Proteinuria • Albuminuria • BMI ≥ 25

  8. Framingham Cardiac Risk Score

  9. Primary Working Impression • Dyslipidemia t/c metabolic syndrome • Atherosclerosis • High CV Risk

  10. Step 2 Therapeutic Objectives

  11. Therapeutic Objectives • Lower cholesterol to normal levels pharmacologically • Reduce overall risk factors • Smoking cessation • Manage diet and promote active lifestyle • Weight control (depends on his BMI and WHR) • Educate patient about medications (dosing, indications, adverse effects, etc.)

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