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Adventist University of the Philippines

Medical Laboratory Science Department


Medical Technology Assessment Program with
Clinical Correlations 1
Name: Desoasido, Eddrei Paullynne D/.
CASE STUDY ANALYSIS WITH CLINICAL CORRELATION

CLINICAL CHEMISTRY 1

A 30-year-old man with chest pain was brought to the emergency department after a softball
game. He was placed in the coronary care unit when his ECG showed erratic waves in the ST region. A family
history revealed that his father died of a heart attack at the age of 45 years. The patient had always been athletic
in high school and college, so he had not concerned himself with a routine physical. The laboratory tests in the
table below were run.

Questions:
1. Given the symptoms and the family history,
what additional tests should be recommended?
- Tests for HDL and LDL are recommended.

2. If his follow-up total cholesterol remains in the same


range after he is released from the hospital, and his
triglycerides and HDL cholesterol are within the normal range,
what course of treatment should be recommended?
- Diabetes should be tested. Also, change in lifestyle
is recommended concerning the patient’s diet.

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