A 34-year-old female presents for a physical exam. She is ne…
A 34-year-old female presents for a physical exam. She is new to the practice and enrolled because she and her family had recently moved to the area and her last physical was more than 1 year ago. On review of her history, the patient has had 2 normal vaginal deliveries and is currently on no oral contraceptive medication, as her husband has had a vasectomy. She has had no chronic medical problems. Her only medications are a multivitamin and Vitamin E. On review of her records, you note that she had a relatively normal fasting lipid profile performed 5 years ago, is up to date on her Tetanus shot, and has had normal Pap smears over the past 5 years. The records also seem to indicate that she has gained about 10 lbs in weight over the past year. Her physical exam is within normal; she is about 20% overweight. You ask the patient to do a repeat fasting lipid profile and the values are as follows: Total cholesterol is 342 mg/dL (normal under 200) LDL Cholesterol 225 mg/dL (normal 60-160) HDL Cholesterol 75 mg/dL (normal 30-80) Triglyceride level 210 mg/dL (normal under 150) What would be the most appropriate next step in the diagnostic evaluation of this patient?