Obesity and metabolic syndrome: The Daily PANCE Blueprint

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Obesity and metabolic syndrome: The Daily PANCE Blueprint

A 52-year-old male presents to your clinic to establish are; he hasn’t seen a doctor in over ten years. He is concerned about his health since his mom died of heart disease a few months ago. He has no chest pain, dyspnea, LE edema, abdominal pain, fever, chills, or cough. His vitals are as follows T 98.6, RR 15/min, HR 80 bpm, BP 120/78 mmHg, BMI 31. His fasting lipid panel shows an LDL of 140 mg/dL, HDL of 50 mg/dL, and triglycerides of 180 mg/dL. Which of the following is the next best step?

A. Order fenofibrate
B. Cardiac stress test
C. Repeat fasting lipid panel in 2 weeks
D. Recommend exercise and a healthier diet
E. Prescribe a bile-acid sequestrant

Answer and topic summary

The answer is D. Recommend exercise and a healthier diet

Obesity is essentially defined as too much fat tissue that results in increased health risks. About 40% of adults are obese in the United States. Important labs to obtain are a fasting lipid panel, fasting glucose, and a liver panel. Initial treatment includes the reduction of body weight through lifestyle interventions, such as dietary changes and physical activity. Complications can include CHF, CAD, OSA, NASH, dementia, CKD, and certain cancers.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint GI and Nutrition ⇒ Nutritional and vitamin disorders (PEARLS) ⇒ Obesity and Metabolic Syndrome

Also covered as part of the Pediatric EOR topic lists