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{{Hypercholesterolemia}}
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{{Cholesterol}}
{{CMG}}


{{CMG}}
==Overview==
Elevated [[cholesterol]] does not lead to specific symptoms unless it has been longstanding. Some types of hypercholesterolemia lead to specific physical findings: [[xanthoma]] (thickening of [[tendon]]s due to accumulation of [[cholesterol]]), ''[[xanthelasma|xanthelasma palpabrum]]'' (yellowish patches around the eyelids) and [[arcus senilis]] (white discoloration of the peripheral cornea).
 
==Physical Examination==


Elevated [[cholesterol]] does not lead to specific physical examination signs unless it has been longstanding. Some types of hypercholesterolemia lead to specific physical findings:
Elevated [[cholesterol]] does not lead to specific physical examination signs unless it has been longstanding. Some types of hypercholesterolemia lead to specific physical findings:


Head, eyes, ears, nose throat (HEENT): ''[[xanthelasma|xanthelasma palpabrum]]'' (yellowish patches around the eyelids) and [[arcus senilis]] (white discoloration of the peripheral cornea).
*'''Head, eyes, ears, nose throat (HEENT):'''
**[[Arcus senilis]] (white discoloration of the peripheral cornea)
**[[xanthelasma|xanthelasma palpabrum]] (yellowish patches around the eyelids).  Shown below is an image depicting xanthelasma.


Longstanding elevated hypercholesterolemia leads to accelerated [[atherosclerosis]]; this can express itself in a number of [[cardiovascular disease]]s:
[[Image:Xanthelasma.jpg|Xanthelasma above eye]]


Heart and Lungs: [[Congestive heart failure]] and rales due to ischemia or [[myocardial infarction]] (heart attack)
* '''Heart and Lungs:''' [[Congestive heart failure]] and rales due to ischemia or [[myocardial infarction]] (heart attack)


Neurologic exam: Signs of either [[transient ischemic attack]s (TIAs) or [[cerebrovascular accident]]s/[[Stroke]]s
*'''Extremities:'''
:*[[Xanthoma]] (thickening of [[tendon]]s due to accumulation of [[cholesterol]])
:*Reduced femoral, posterior tibial, and dorsalis pedis pulses and femoral bruit due to [[peripheral artery disease]] (PAD)


Peripheral arterial exam:
* '''Neurologic exam:''' Signs of either [[transient ischemic attack]]s (TIAs) or [[cerebrovascular accident]]s/[[Stroke]]s
*[[Xanthoma]] (thickening of [[tendon]]s due to accumulation of [[cholesterol]])
*Reduced femoral, posterior tibial, and dorsalis pedis pulses and femoral bruit due to [[peripheral artery disease]] (PAD)


==References==
==References==
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[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Disease]]
[[Category:Lipopedia]]
[[Category:Lipids]]
[[Category:Up-To-Date]]


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Latest revision as of 02:44, 13 September 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Elevated cholesterol does not lead to specific symptoms unless it has been longstanding. Some types of hypercholesterolemia lead to specific physical findings: xanthoma (thickening of tendons due to accumulation of cholesterol), xanthelasma palpabrum (yellowish patches around the eyelids) and arcus senilis (white discoloration of the peripheral cornea).

Physical Examination

Elevated cholesterol does not lead to specific physical examination signs unless it has been longstanding. Some types of hypercholesterolemia lead to specific physical findings:

  • Head, eyes, ears, nose throat (HEENT):

Xanthelasma above eye

  • Extremities:

References

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