Case based learning

Nini · #1 (**permalink**) 02-08-2010, 09:29 PM

Case of chest pain on walking, with xanthomas and right carotid bruit,
elevated triglycerides and blood glucose

Diagnosis??
And what investigations can be carried out.??

Nini · #2 (**permalink**) 02-08-2010, 09:32 PM

I am thinking of atherosclerosis or acquired hyperlipidemia.

sundus akram · #3 (**permalink**) 03-08-2010, 05:16 PM

Hyperlipidemia.
But u didnt mention age and sex.

sohrz · #4 (**permalink**) 04-08-2010, 09:13 PM

D.D

Familial Hyperlipidemia
Acquired Hyperlipidemia
Stable Angina

I agree with sundus. coz xanthomas are common females.

Labs

Lipid Profile

The Blood pressure of that patient should also be checked.

leewani · #5 (**permalink**) 07-08-2010, 07:28 PM

no sorry its not acquired hyperlipidemia.
basically xanthomas are most commonly seen in familial dyslipidemias.
just check out family history you will know.
and do fasting lipid profile.
take blood pressure. do an ECG.
DO PATIENTS FASTING GLUCOSE
and also do carotid dopler ultrasound. to know the amount of obstruction bec of atherosclerosis.

leewani · #6 (**permalink**) 02-09-2010, 01:48 AM

thanx. hey guys i am starting a new case plz post your comments

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The Following User Says Thank You to sohrz For This Useful Post:
Nini (08-08-2010)

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