Dyslipidemia follow-up
Age: years old
Gender:
HISTORY:
Returns for a follow-up
Last visit was ago
Current symptoms:
, , , ,
,
, over
Diet: , , , ,
Physical activity:
Weight: ,
Smoking: , pack-years
Alcohol: , drinks per
Recreational drugs: ,
Contributing factors:
no history of: , , , ,
Medications:
, , , , ,
Adherence: ,
Labs:
Cholesterol:
LDL:
HDL:
Triglycerides:
HbA1c:
TSH:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Metrics: weight: , height: cm, waist: cm, BMI:
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Extremities: , , cap refill sec, pulses , ,
ASSESSMENT:
,
DDx: hyperlipidemia, familial hypercholesterolemia, hypothyroidism, alcohol abuse, nephrotic syndrome, chronic kidney disease,
PLAN:
Investigations:
- Blood work: , , , , , ,
Treatments:
-
-
-
-
-
- Healthy diet (low in salt, carbs and fat)
- Regular exercise
- Weight loss counseling
- Limit alcohol intake
- Smoking cessation
Further care:
- Referral to dietitian
- Repeat lipid profile in
- Follow-up in
HISTORY: EXAM: ASSESSMENT: PLAN: