Familial Hypercholemia Case Studies

Reflective Notes

This case represented one of my first patient encounters, and I learned how important the interview is related to the process of an examination. The past medical, personal and family history can help clinicians process the pertinent information that builds a strong review of systems. For example, the patient disclosed that he had been in a motorcycle collision that was associated with alcohol fifteen years ago. He also disclosed that his father suffered from an alcohol addiction. This information tipped me to ask pertinent risk assessment questions (CAGE) related to his drinking. Additionally, all of this information was helpful to formulate the differentials. In this case, there was not anything specific that would have been done differently during the examination except that I contemplated an evaluation of the eye structure to search for nicking of blood vessels. I also need to learn about the area's mental health options. This information
W. had risk factors associated with dyslipidemia that included family history, lifestyle choices, age, and gender (Buttaro et al., 2013). According to Isla (2016), treatment goals for individuals who have "familial hypercholesterolemia" will need more intensive lipid-lowering therapy (p. 1284). My preceptor discussed starting a statin. However, C. W. wanted more time to make lifestyle changes to see if these measures would help lower his cholesterol. However, there is a high probability that C. W. will return to the office with elevated lipid levels that will require the initiation of a lipid-lowering agent. The other differentials considered included excessive alcohol consumption, CAD, and metabolic syndrome. C. W.'s initial work-up revealed a normal liver enzymes, fasting blood sugar, and EKG at this time. However, the development of CAD and metabolic syndrome would need to be monitored on an ongoing basis. The alcohol consumption was contributory and needed to be addressed as