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? Tested Concept

QID: 100578
FIGURES:
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LDL cholesterol

100%

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Fasting glucose

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M 2 E

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