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Rahul Verma

Flagged for reviewDemo data (offline)

MRN-60335

Stage: CLINICIAN_REVIEW

Findings

  • ModeratePartially verifiedPatient-specific inference

    Reported new muscle aches since starting atorvastatin 40 mg may be statin-associated and could warrant review of the current dose.

    Rationale

    The temporal association between statin initiation and the onset of myalgia is consistent with statin-associated muscle symptoms described in clinical guidelines, but no creatine kinase level is on file to corroborate the association, and the supporting guideline source has not yet been clinician-reviewed.

    Recommended action

    Consider checking creatine kinase and reviewing statin dose or alternative therapy if symptoms persist.

    Supporting chart evidence
    • Patient-reported symptom: New bilateral thigh muscle aches, onset 2026-07-20, reported at telehealth check-in
    • Active medication: Atorvastatin 40 mg PO nightly, started 2026-06-15
    Clinician label

Patient history

  1. 2024-01-15
    LDL cholesterol 175 mg/dL
    Lipid panel; elevated LDL noted at annual exam.
  2. 2024-01-15
    Hyperlipidemia diagnosed
    Diet and exercise counseling recommended as first-line management.
  3. 2024-07-20
    LDL cholesterol 168 mg/dL
    Lipid panel; minimal improvement despite lifestyle changes.
  4. 2025-01-10
    LDL cholesterol 171 mg/dL
    Lipid panel; LDL remains above goal.
  5. 2025-01-10
    Creatine kinase 88 U/L
    Baseline creatine kinase, within reference range (30–200 U/L).
  6. 2025-07-14
    LDL cholesterol 165 mg/dL
    Lipid panel; LDL remains above goal despite continued lifestyle counseling.
  7. 2026-06-01
    Follow-up visit
    LDL remains persistently elevated; statin therapy discussed and recommended.
  8. 2026-06-01
    LDL cholesterol 170 mg/dL
    Lipid panel prior to statin initiation.
  9. 2026-06-01
    Creatine kinase 95 U/L
    Baseline creatine kinase prior to statin initiation, within reference range (30–200 U/L).
  10. 2026-06-15
    Atorvastatin 40 mg nightly started
    Initiated for hyperlipidemia management.
  11. 2026-07-20
    Telehealth check-in
    Patient reported new bilateral thigh muscle aches.
  12. 2026-08-10
    LDL cholesterol 98 mg/dL
    Lipid panel; marked improvement on statin therapy.
  13. 2026-08-16
    Chart prepared for upcoming visit
    Pre-visit chart review generated ahead of scheduled follow-up.

Recent labs

  • LDL Cholesterol
    98 mg/dLas of 2026-08-10
  • Creatine Kinase
    95 U/Las of 2026-06-01