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A 12-year-old who weighs 200 pounds has been on a diet and exercise program for the past 6 months

A 12-year-old who weighs 200 pounds has been on a diet and exercise program for the past 6 months. His or her weight has not changed. Other vital signs include blood pressure 130/70 mm Hg, pulse 80, and respiratory rate (RR) 20 at rest. Family history does not include severe issues with cholesterol at young ages. A paternal uncle had a myocardial infarction last year at age 42. Both grandfathers died from strokes prior to age 65. The lipid profile shows low-density lipoprotein 200 and high-density lipoprotein 40. The mother wants “pills” to control the lipid levels.
1. Are statins given to children?

2. Would the gender of the patient make a difference?

3. How would you approach obtaining information on the prior lifestyle management plan?

4. How would you classify this patient in terms of cardiac risk?

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