Snapshot A 54-year-old man presents to his primary care physician for a wellness visit. He reports to currently feeling well and has no acute complaints. Medical history is significant for 2 prior myocardial infarctions, hypertension, hyperlipidemia, and hypercholesterolemia. Physical examination is notable for corneal lipid deposits in the peripheral corneal stroma. (Corneal arcus) Introduction Hyperlipidemia Signs Category Definition Atheromas Also known as an atheromatous plaque or atherosclerotic plaque A raised intimal lesion that has a lipid core surrounded by a fibrous cap Xanthomas A skin lesion that contains lipid-laden histiocytes when it affects the eyelids it is termed xanthelasma Tendinous xanthoma Lipid deposits affecting the tendons (e.g., Achilles) Corneal arcus Corneal lipid deposits seen in the elderly (commonly) hypercholesterolemia in the young
QUESTIONS 1 of 3 1 2 3 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (M1.CV.13.62) 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? QID: 100578 FIGURES: A Type & Select Correct Answer 1 beta-HCG 0% (0/87) 2 TSH 0% (0/87) 3 FSH 0% (0/87) 4 LDL cholesterol 99% (86/87) 5 Fasting glucose 0% (0/87) M 2 Question Complexity E Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic