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VOLUME 1 ISSUE 6 CASE MP	MP is a 60-year-old Hispanic woman who has recently been diagnosed with type 2 diabetes mellitus.
PHYSICAL EXAMINATION »  Height: 5 ft. 3 in. »  Weight: 180 lb. »  BMI: 32 kg/m2 »  Pulse: 81 »  Blood pressure: 140/75 mm Hg LABORATORY VALUES »  TC: 240 mg/dL »  LDL-C: 160 mg/dL »  HDL-C: 30 mg/dL »  Triglycerides: 250 mg/dL »  FPG: 160 mg/dL »  A1c: 8.0% CURRENT MEDICATIONS »  Ramipril: 5 mg/d »  Atorvastatin: 10 mg/d »  Metoprolol: 50 mg/d »  Aspirin: 325 mg/d	Please Note: This issue of The Bottom Line has expired and CE credit is no longer available. Medical History Q1: What is the risk for edema with the use of TZDs? Q2: What is the pathogenesis of TZD-associated edema? Q3: What is the pathogenesis of CHF with TZD use? Q4: What is the risk for CHF in persons using TZDs? Q5: How would you evaluate the risk for edema in MP? Q6: What if MP had mild New York Heart Association (NYHA) class I or II CHF? Would a TZD be contraindicated? Q7: What if MP had NYHA Class III or IV CHF? Follow-Up Visit Q8: How should you evaluate this patient? Q9: MP shows no signs or symptoms of CHF at this visit, and her weight is stable. How should you proceed?
	Issue Date: February 2004 Expiration Date: February 2005 Questions? Contact 1-888-JEFF-CME (533-3263) or http://jeffline.jefferson.edu/jeffcme
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