Updated: 9/17/2019

Hyperlipidemia Signs

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  • 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
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(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:

beta-HCG

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(0/107)

TSH

1%

(1/107)

FSH

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(0/107)

LDL cholesterol

98%

(105/107)

Fasting glucose

0%

(0/107)

M 2 E

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