Shared Flashcard Set

Details

Simple Case 16
fam med cases
11
Medical
Graduate
01/27/2011

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Cards

Term
Components of metabolic syndrome
Definition
abdominal obesity, hypertriglyceridemia, low HDL, elevated BP, impaired fasting glucose
Term
Casues of secondary dyslipidemia
Definition
Type 2 DM
Primary biliary cirrhosis
nephrotic syndrome
acute hepatitis
hypothyroidism
alcohol
Term
5 major risk factors for CHD
Definition
smoking
age >45 (m) >55 (w)
fam hx of premature CHD (<55m, <65w)
low HDL (<40)(high HDL is neg risk factor)
HTN (>140/90)
Term
Lipid screening in adults
Definition
USPSTF:
All men >35, all women >45
Younger adults w CHD risk factors
Term
Statins clinical effects, side fx,
Definition
Lower LDL, raise HDL, lower TG
Must do LFT testing first
Sidefx: hepatic dysfunction, myopathy
Term
bile acid sequesterants
Definition
Raise HDL, Lower LDL, RAISE TG.
Severe GI distress and constipation
Term
Nicotinic Acid
Definition
Raise HDL, decrease TG.
Usage limited by symptomatic flushing
Term
Fibric Acid Derivatives
Definition
Lower TG, can raise HDL and lower LDL
Term
Ezetemibe
Definition
Decreases cholesterol absorption at intestinal brush border
Term
Weight loss medications
Definition
Orlistat, sibutramine
Term
Indications for bariatric surgery
Definition
Pts. w BMI>40 or BMI>35 w severe complications, who have not succeeded with other treatment methods.
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