SCA practice station
Elevated Cholesterol
Richard Foster • 69 years old
Personal details:
Patient name: Richard Foster
Patient age: 69
Medical Records:
Past medical history:
Myocardial Infarction 18 months ago
Hypertension
Hypercholesterolaemia
Current medications:
Atorvastatin 80mg ON
Ezetimibe 10mg OD
Aspirin 75mg OD
Ramipril 10mg OD
Bisoprolol 5mg OD
Amlodipine 5mg OD
NKDA
Medical Notes:
GP Review: 3 months ago
Post-MI lipid management review. Patient doing excellently with lifestyle modifications - significant weight loss, smoking cessation maintained, exercising regularly. Lipid profile remains suboptimal despite atorvastatin 80mg.
Plan: Added ezetimibe 10mg to atorvastatin 80mg. Explained this is maximum standard oral therapy for cholesterol. Arranged repeat lipids in 3 months to assess response. Patient very motivated and adherent.
BP 136/76. BMI 25.
GP admin entry: 1 week ago
Bloods done as planned. Results filed.
Investigation results:
Blood test results (done 1 week ago): LFT's Normal, U+E Normal, FBC: Normal, HbA1c Normal.
Cholesterol: Total: 5.3mmol/l, Non HDL-C: 4.1mmol/l, LDL-C: 2.6mmol/l, HDL: 1.2mmol/l
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