1. Insert Case Title Case Overview
From the List to the right, Please indicate which category does your case fall under?
State one sentence summary:
Ex. 47 yr old with family history of premature CVD and personal history dyslipidemia with prior statin in tolerance.
Primary Care Prevention
Secondary Prevention
Pediatric Case
Familial Hypertriglyceridemia
Diabetes
Metabolic Syndrome
Low HDL
Familial Combined Hyperlipidemia
Familial Hypercholesterolemia
Elevated Lipoprotein (a)
Statin Intolerance

2. Patient Information Age Gender 40 Female Height Weight BMI 65.5 120
24.01
Waist Circumference (CM)
Exercise 33
Moderate
Smoking
Allergies
Alcohol
Y/N
Y/ how much daily/weekly
BP Systolic (mm/Hg)
BP Diastolic (mm/Hg)
100 60
Pulse Rate
Fasting Status 60
F/NF

3. Patient History Patient History PVC’s Syncope Hypothyroid TMJ
Surgical History
T & A
Family History
Father
Age 67 smoker; well heart; health diet and exercise
Mother
Age 64 past smoker; RN: heart healthy; diet and exercise

4. Current Medications
Current Medication Prior to this Visit
None

5. Labs worth noting Lab Test Normal Range Patient Range LDL-P
Small LDL-P
LpPLA2
TSH
ALT
Pick only labs that are pertinant, above are just examples. All cases should include LDL-P or Apo B

6. Questions to Consider Question one Question two Question three
Question four

7. LABS
Please insert actual lab images separately!!!!!!

8. Initial Treatment & Management

9. Follow Up
Follow Up Visit:

10. Discussion
Problem
Issues
Treatment Options

11. Clinical Pearls
Clinical Pearls

12. Case Summary 1st Visit Follow Up Goal Medication
MetforminER 2000, Crestor 10
Crestor 20 etc
LDL-P
Vit-D
CRP
Small LDL

13. Resources
Please attach separately or contact us at for available resources.

14. References