A 46-year-old man is found to have an abnormal lipid profile, during routine tests prior to employment abroad. Lab: 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/day His father died of myocardial infarction aged 55 He plays football once a week (but not always) He drinks up to 50 units of alcohol a week On examination, his weight is 89 kg (BMI 27) and blood pressure is 169/90 mmHg, and urine dipstick shows protein -, RBC -, WBC -, Glu -, Nit -. Source: Clinical Cases Uncovered - Endocrinology and Diabetes - Ramzi Ajjan *This case is from Docplexus Editorial Team for Educative purposes only!
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