Hyperlipidemia

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Hyperlipidemia

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Questions

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:  


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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

First Aid

2024

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Angina

glycoprotein IIb/IIa inhibitors for p. 442

Bleeding

glycoprotein IIb/IIa inhibitors p. 442

Corneal arcus

hyperlipidemia p. 307

Glycoprotein IIb/IIa inhibitors p. 442

Hyperlipidemia p. 307

atherosclerosis and p. 305

atypical antipsychotics p. 591

glomerular filtration barrier and p. 599

immunosuppressants p. 118

nephrotic syndrome p. 613

thiazides p. 627

Skin lesions

hyperlipidemia signs p. 307

Thrombocytopenia p. 413

glycoprotein IIb/IIa inhibitors as cause p. 442

Xanthomas

hyperlipidemia and p. 307

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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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