CINIII
Forum Senior
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Posts: 64
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A?
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| cirus
Forum Guru
Topics: 108
Posts: 740
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Yes A
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| prathapdoctor
Forum Elite
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yes, its A.
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| rezaaa
Forum Senior
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hey guys this patient is a diabetic + Hypertensive with hypercholesterolemia. she has two risk factors (DM+HTN) with cholesterol above 200 mg/dl. do u think alcoholic cessation will solve her problem of hypertriglyceridemia? The question is asking the most appropriate next step....in my opinion it should be gemfibrozil (fibrate) therapy to reduce the triglycerides.
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| dratish
Forum Newbie
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i agree, D
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| dr in trouble
Forum Guru
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I think her inc HDL and inc triglycerides indicates towards Alcohol, first u have to remove the offending substance and then start therapy.
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| rezaaa
Forum Senior
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i know where u coming from dr in trouble alcohol is a possible answer. i mentioned the reasons i would choose gemfibrozil. also doesnt only moderate alcohol consumption cause increased hdl? the patient is having a pint of vodka which is certainly not moderate. also can u plz tell me if alcohol would raise the trigs to 300
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| Drtweetie
Forum Elite
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If the other option is diet and exercise, I would choose it over gemfibrozil; however, look at her lipid panel with elevated TG, cholesterol, I'd say starting meds. Alcohol cessation would not help her problem!
I agree w/ starting gemfibrozil which is preferred drug for high TG
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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A)
Pte has been drinking a lot of alcohol. That explain his hypertriglicemia, also telling us in history about gout, let us think about complications due to excess of alcohol. Most probably he has liver problem and gemfibrozil is contraindicated in that situation.
First we have to stop the source of the problem before initiate any drug therapy.
My answer is stop drinking~
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