questions 2

Hyperlipidemia Signs

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Topic updated on 12/28/15 2:04am

Overview
  • Atheromas (fatty plaques) 
    • lipid deposit in blood vessel walls 
  • Xanthomas
    • lipid deposit in skin  
      • nodule composed of lipid-rich histiocytes
  • Xanthelasma
    • lipid deposit in eyelid  
      • subtype of xanthoma
  • Tendinous xanthoma
    • lipid deposit in tendon
      • most notably in Achilles
  • Corneal arcus
    • lipid deposit in cornea 
Management
  • Noting the presence of any of the above signs should prompt investigation with a fasting lipid panel


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(M1.CV.62) A 35-year-old woman presents to your family practice office because of a, "skin rash around her eyes." This is her first time visiting a physician. Her last menstrual period was 6 days ago and was normal. History and review of systems are normal. Her vitals are as follows: T 98.4F, HR 88 bpm, BP 128/80 mm Hg, RR 11. On exam you note the finding illustrated in Figure A. What lab test are you most interested in ordering? Topic Review Topic
FIGURES: A          

1. beta-HCG
2. TSH
3. FSH
4. LDL cholesterol
5. Fasting glucose

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