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Hyperlipidemia
Hyperlipidemia
CHIEF COMPLAINT
Hyperlipidemia
HPI
Symptom list
Severity
• Mild
• Moderate
• Severe
• Absent
• Normal
• Increased
• Decreased
• Stable
• no significant change from prior visit
HISTORY (PMFSH)
PAST HISTORY
• Diabetes mellitus
• Hypothyroidism
• Obstructive liver disease
• Chronic renal failure
• Metabolic Syndrome
• Drugs
o Progestins
o Anabolic steroids
o corticosteroids
o anorexia nervosa
o Glucocorticoids
o Estrogens
o Oral contraceptives
o Antihypertensives
• Alcoholism
ALLERGY
Drugs
Environment
FAMILY HISTORY
SOCIAL HISTORY
Habits
• Alcoholism
• Drugs___
• Smoking
Occupation
ROS
PHYSICAL EXAMINATION
FREDRICKSON CLASSIFICATION
TYPE I
Buerger-Gruetz syndrome
Primary hyperlipoproteinaemia
Familial hyperchylomicronemia
TYPE II
TYPE IIA
Polygenic hypercholesterolaemia
Familial hypercholesterolemia
Type IIb
Combined hyperlipidemia
Type III
Familial Dysbetalipoproteinemia
Type IV
Endogenous Hyperlipemia
Type V
Familial Hypertriglyceridemia
TESTS TO BE ORDERED
Blood tests
• CBP
• FBS
• PLBS
• RBS
• Serum amylase
• Cholesterol Screening
o fasting total cholesterol
o LDL cholesterol
o high-density lipoprotein (HDL) cholesterol
o triglyceride levels
• Apolipoprotein B100 test
• Genetic testing
• Liver function tests
• Renal function tests
• Thyroid function tests
Urinalysis
o Macroscopic
Urine Bilirubin
Urine Blood
Urine Casts
Urine Color
Urine Glucose
Urine Ketones
Urine pH
Urine Protein
Specific Gravity
Urine Urobilinogen
o Microscopic
Urine WBS/hpf
Urine RBC/hpf
Urine Casts
Urine Other
• Chest X-ray
• ECG
• 2D Echo
• Angiography
• CT-scan
• MRI
MEDICATION
• Atorvastatin
• Cerivastatin
• Lovastatin
• Fluvastatin
• Pravastatin
• Simvastatin
• Niacin
• Gemfibrozil
• Clofibrate
• Fenofibrate
• Cholestyramine
• Colestipol
• Bezafibrate
• Ciprofibrate
• Omega-3-acid ethyl esters
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