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Lipid Screening in Children Clinical Pathway, Primary Care – History and Physical

Lipid Screening in Children Clinical Pathway — Primary Care

History and Physical

History
  • Risk Factors for Cardiovascular Disease
  • Diet
  • Level of physical activity
  • Family history
  • Medications associated with increased cholesterol
    • Anti-psychotics
    • Steroids
    • Accutane
    • Estrogen-containing birth control
Physical
  • Blood pressure
  • BMI
  • Acanthosis nigricans
    • Darkening or thickening of skin found around the neck and under the armpits suggestive of insulin resistance
  • Xanthoma
    • Fatty skin growths on the tendon surfaces or eyelids concerning for severe hypercholesterolemia

 

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