Questions and Answers
In the case of a 50-year-old female with a history of type II diabetes, what would be the most appropriate intervention?
What is the LDL target in patients with known coronary heart disease?
Less than 70 mg/dL
Study Notes
Patient Case Summary
- 50-year-old female with a 10-year history of type II diabetes.
- Current medications: glyburide, metformin, simvastatin.
- No complaints during follow-up visit; recent ophthalmologist appointment occurred.
- Vital signs: Temp 37.1 C (99 F), HR 80, BP 140/83, RR 15, O2 Sat 98% on room air.
- Neurological exam shows diminished sensation in lower extremities in a stocking distribution.
- Laboratory results:
- Na+ 136, K+ 3.9, Cl- 104, HCO3- 25, BUN 15, Cr 1.0, Glucose 150.
- Hemoglobin A1c: 7.1%.
- Urinalysis: negative for ketones, glucose, bilirubin; moderate protein present.
- Lipid profile: Total cholesterol 146, HDL 46, LDL 100.
Recommended Intervention
- Adding lisinopril is recommended for all diabetic patients to provide cardiovascular and renal protection.
Coronary Heart Disease Consideration
- There is a target for LDL levels in patients with established coronary heart disease that should be adhered to for managing cardiovascular risk.
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Description
Test your knowledge with these flashcards on Family Medicine, focusing on diabetes management and patient examination. This quiz covers critical aspects of patient history, medications, and vital signs essential for family practice. Perfect for students and professionals looking to enhance their understanding of Family Medicine.
