Table 2.

Sample clinical case

Labs
Total cholesterol	205 mg/dL
Triglycerides	125 mg/dL
LDL-C	140 mg/dL
HDL-C	50 mg/dL
Glucose	108 mg/dL
AST	63 u/L (10–30 u/L)
ALT	50 u/L (6–40 u/L)
CPK	50 u/L
Medication
Losartan	100 mg qd
Amlodipine	10 mg
HCTZ	25 mg
ASA	325 mg
Exam
Height	5’2”
Weight	160 lbs.

A 70-year-old female presents to the lipid clinic upon referral by her internist for management of dyslipidemia. Her past medical history includes hypertension and a transient ischemic attack. She was started on atorvastatin 40 mg 6 months ago and during the first 2 weeks of therapy, she noticed bilateral upper arm pain and weakness. After stopping the statin, her pain stopped 4 weeks later. Two months ago she was started on rosuvastatin 5 mg every other day but her upper arm pain, which she describes as very similar to her previous symptoms, returned after 1 week of treatment

ALT alanine aminotransferase, ASA aspirin, AST aspartate aminotransferase, CPK creatine phosphokinase, HCTZ hydrochlorothiazide, HDL-C high-density lipoprotein cholesterol, LDL-C low-density lipoprotein cholesterol