PAINE #PANCE Pearl – Cardiovascular



Question

Hypercholesterolemia is most commonly a laboratory diagnosis, but there are some class physical examination findings that can be seen. What are they?



Answer

There are five (5) classic physical exam findings associated with hypercholesterolemia and are more common in familial, genetic hyperlipoprotenemias.

  • Tendon xanthomas (most commonly at the achilles tendon and hands)
  • Planar xanthomas on hands and feet
  • Xanthelasmas (soft, cholesterol filled, yellow plaques on the upper eyelids)
  • Corneal arcus (white/grey ring around cornea)
  • Lipemia retinalis (white colored retinal vessels associated with hypertriglyceridemia)
  • Planar xanthomas on hands and feet
  • Xanthelasmas (soft, cholesterol filled, yellow plaques on the upper eyelids)
  • Corneal arcus (white/grey ring around cornea)
  • Lipemia retinalis (white colored retinal vessels associated with hypertriglyceridemia)
  • Xanthelasmas (soft, cholesterol filled, yellow plaques on the upper eyelids)
  • Corneal arcus (white/grey/yellow ring around cornea)
  • Lipemia retinalis (white colored retinal vessels associated with hypertriglyceridemia)

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