CS-dyslipidemia

Case Presentation (1)

• Mohammed, a 55-year-old male, smoker, known case of knee OA and Asthma.
• His father died at the age of 52 due to Myocardial infarction.
• Came today to check his lab results.

On examination:

• Looks well, not in pain or discomfort.
• Height: 164 cm
• Weight: 94 kg
• BMI: 34.9
• Blood pressure: 145/86 mmHg
• Pulse: 80/minute
• RR: 20/minute.

How would you like to approach this patient?

Lab Results

• Reg. Date: 9-JUL-20 13:54
  • Exam: Chemistry (Hormone/Tumor/I)
    • Result: TSH 2.22
• Reg. Date: 9-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: HDL 1.59
• Reg. Date: 9-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: Alk Phos 54
• Reg. Date: 9-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: LDL 5.50
• Reg. Date: 9-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: BIII T 10.6
• Reg. Date: 19-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: Chol 6.50
• Reg. Date: 19-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: AST 18
• Reg. Date: 19-JUL-20 13:54
  • Exam: Chemistry [Blood - Serum]
    • Result: Trig 0.87

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Lab results as shown,

What is your next step?

Case

• 38 years ago, male, smoker came to complain of sore throat for 4 days, he is getting better last day with conservative management.
• What do you want to do next? CBC

Case

• Ahmad, a 42-year-old male, K\C HTN, has a history of MI three years back, on antihypertensive medications only.
• Presents to your clinic for lab result check-up, he is doing well, with no complaints.

How would you like to approach this patient and management plan? secondary prevention start medication immediatly with high dose statins

His Lipid Profile Results as Shown

Q1. Which of the following is the best next step?

• A. Counsel on diet and exercise only, as his lipids are not very high.
• B. Give Niacin to increase HDL level.
• C. Give high-intensity statin
  (As the patient has a history of ASCVD)
• D. Trial of Ezetimibe.