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Dutch Lipid Clinic Network Score DLCNS for FH The DLCNS is a validated set of criteria based on the patients family history of premature cardiovascular disease CVD in their first degree relatives their own CVD history their untreated lipid levels and physical signs such as the presence of tendon xanthomata or arcus cornealis prior to the age of 45. The subsequent score categorizes patients by the likelihood of Familial Hypercholesterolaemia FH diagnosis. Patient Name DOB Date Criteria Score Family history vascular disease men aged 55 years women aged 60 years OR th percentile for age and gender cornealis Children aged 18 years with LDL-cholesterol above the 95 Clinical history Patients with premature coronary artery disease men aged 55 years women aged 60 years disease men aged 55 years women aged 60 years Physical examination Tendinous xanthomata Arcus cornealis before 45 years of age Investigation LDL-cholesterol mmol/L NB. This is the untreated LDLcholesterol concentration* See supporting documentation for method of calculation* LDL-C 8. 5 LDL-C 6. 5 8. 4 LDL-C 5. 0 6. 4 LDL-C 4. 0 4. 9 Patient total Diagnosis Total Definite FH Probable FH 6-8 Possible FH 3-5 Unlikely FH Patient Score. The subsequent score categorizes patients by the likelihood of Familial Hypercholesterolaemia FH diagnosis. Patient Name DOB Date Criteria Score Family history vascular disease men aged 55 years women aged 60 years OR th percentile for age and gender cornealis Children aged 18 years with LDL-cholesterol above the 95 Clinical history Patients with premature coronary artery disease men aged 55 years women aged 60 years disease men aged 55 years women aged 60 years Physical examination Tendinous xanthomata Arcus cornealis before 45 years of age Investigation LDL-cholesterol mmol/L NB. Patient Name DOB Date Criteria Score Family history vascular disease men aged 55 years women aged 60 years OR th percentile for age and gender cornealis Children aged 18 years with LDL-cholesterol above the 95 Clinical history Patients with premature coronary artery disease men aged 55 years women aged 60 years disease men aged 55 years women aged 60 years Physical examination Tendinous xanthomata Arcus cornealis before 45 years of age Investigation LDL-cholesterol mmol/L NB. This is the untreated LDLcholesterol concentration* See supporting documentation for method of calculation* LDL-C 8. This is the untreated LDLcholesterol concentration* See supporting documentation for method of calculation* LDL-C 8. 5 LDL-C 6. 5 8. 4 LDL-C 5. 0 6. 4 LDL-C 4. 0 4. 9 Patient total Diagnosis Total Definite FH Probable FH 6-8 Possible FH 3-5 Unlikely FH Patient Score. The subsequent score categorizes patients by the likelihood of Familial Hypercholesterolaemia FH diagnosis. Patient Name DOB Date Criteria Score Family history vascular disease men aged 55 years women aged 60 years OR th percentile for age and gender cornealis Children aged 18 years with LDL-cholesterol above the 95 Clinical history Patients with premature coronary artery disease men aged 55 years women aged 60 years disease men aged 55 years women aged 60 years Physical examination Tendinous xanthomata Arcus cornealis before 45 years of age Investigation LDL-cholesterol mmol/L NB. This is the untreated LDLcholesterol concentration* See supporting documentation for method of calculation* LDL-C 8.