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Mr. Johnson is prompted by his wife to attend your surgery. He is an infrequent attender and his wife feels he requires a check-up now that he is aged 50. He attends by himself.
He has no significant PMH, drinks 40units/week of alcohol, is overweight and takes little exercise. He has never smoked.
He enquires about whether he needs his cholesterol checked.
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Is there any other information you would ask about?
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Diet – poor (excessive, fatty foods)
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Blood pressure 130/84 mmHg
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No FHx of CHD
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BMI 32
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What advice would you give?
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Reduce alcohol intake to 14 units/week
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Lose weight by taking exercise and improving diet
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Would you check his cholesterol and if so why?
- Yes, for QRISK2 calculation, ensure no familial hypercholesterolaemia