Hyperlipidemia

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Hyperlipidemia

Cardiovascular system

Cardiovascular system

Cardiovascular system

Cardiovascular system

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Hyperlipidemia

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Hyperlipidemia

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USMLE® Step 1 style questions USMLE

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A 26-year-old man is evaluated in the emergency department for epigastric pain that began an hour ago. He reports that the pain radiates to the back and is 9 out of 10 in severity. The patient consumes a diet rich in fresh fruits and vegetables. He drinks 2-3 glasses of wine per week on social occasions. Family history is notable for recurrent episodes of pancreatitis in his father and paternal uncle. His temperature is 37.7°C (99.9°F), blood pressure is 125/83 mmHg, and pulse is 96/min. Physical examination is notable for tenderness on light palpation of the epigastric region. Abdominal exam also reveals hepatosplenomegaly and the following finding:  


Reproduced from: Wikimedia Commons  

Xanthomas are found on the patient’s bilateral elbows. Which of the following set of laboratory findings would be most likely expected in this patient?  

External References

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Angina

glycoprotein IIb/IIa inhibitors for p. 445

Bleeding

glycoprotein IIb/IIa inhibitors p. 445

Corneal arcus

hyperlipidemia p. 307

Glycoprotein IIb/IIa inhibitors p. 445

Hyperlipidemia p. 307

atherosclerosis and p. 308

atypical antipsychotics p. 597

glomerular filtration barrier and p. 605

immunosuppressants p. 118

nephrotic syndrome p. 619

thiazides p. 633

Skin lesions

hyperlipidemia signs p. 307

Thrombocytopenia p. 415

glycoprotein IIb/IIa inhibitors as cause p. 445

Xanthomas

hyperlipidemia and p. 307

External Links

Summary

Hyperlipidemia is a condition where you have high levels of lipids in your blood, specifically above 200 mg/dL of triglycerides and above 190 mg/dL of cholesterol. Among the causes of hyperlipidemia are genetic predisposition, high-fat diet, and sedentary lifestyle. There are also secondary causes like diabetes mellitus, metabolic disorders such as hypothyroidism. Hyperlipidemia can lead to cardiovascular and cerebrovascular diseases such as myocardial infarction and stroke.

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