Case Study 2

Case Study Two PATIENT HISTORY

  • Tony, age 52, Caucasian male
  • Sales representative for a health food chain
  • No significant health history: common childhood illnesses, no surgeries
  • Other: right knee pain (secondary to a football injury in high school)
  • Exercises for 1 hour, 4 times a week

FAMILY HISTORY

  • Mother has hypertension and diabetes mellitus
  • Father died of pancreatic cancer at age 60

PHYSICAL EXAM

  • Weight: 186 lbs
  • Height: 5'10"
  • BMI: 26.6
  • Waist circumference: 34"
  • BP: 146/92 mm Hg

LAB RESULTS

  • Fasting glucose – 100 mg/dL
  • Triglycerides – 160 mg/dL
  • LDL: 136 mg/dL
  • HDL: 46 mg/dL
  • TC: 210 mg/dL
  • Urine: normal
  • Liver: normal

MEDICATIONS

Takes 6-7 vitamins daily, including
  • Vitamin B Complex
  • Calcium supplement
  • Ginseng
  • Garlic
  • Ibuprofen
  • Green tea
  • Co Enzyme Q
  • Condroitin Sulphate