Oliver, aged 46 years, is found to have an abnormal lipid profile, during routine tests prior to employment abroad. Total cholesterol (TC)- 6.5 mmol/L Low-density lipoprotein cholesterol (LDL)- 5.1 mmol/L High-density lipoprotein cholesterol (HDL)- 0.9 mmol/L Triglycerides- 1.4 mmol/L The patient is asymptomatic. History He smokes 10 cigarettes/day His father died of myocardial infarction at the age of 55 years. He usually plays football once a week. He drinks up to 50 units of alcohol in a week.
Examination and investigations On examination, his weight is 89 kg (BMI 27) and blood pressure is 169/90 mmHg, and urine dipstick shows protein -ve, RBC -ve, WBC -ve, Glu -ve, Nit -ve. Fasting glucose- 5.1 mmol/L FT4- 16.7 pmol/L TSH- 1.9 mU/L LFTs- normal U&Es- normal ECG- normal What do the findings suggest? *This case is from Docplexus editorial team for educational purpose only. Source:…
