<prompt> Answer this question truthfullyWhat is involved in a physical examination for high cholesterol?  <response>: <reason> Elevated cholesterol does not lead to specific physical examination signs unless it has been longstanding. Some types of hypercholesterolemia lead to specific physical findings:Head, eyes, ears, nose throat HEENT: Arcus senilis white discoloration of the peripheral cornea xanthelasma palpabrum yellowish patches around the eyelids. Shown below is an image depicting xanthelasma.Heart and Lungs: Congestive heart failure and rales due to ischemia or myocardial infarction heart attackExtremities:Xanthoma thickening of tendons due to accumulation of cholesterol Reduced femoral, posterior tibial, and dorsalis pedis pulses and femoral bruit due to peripheral artery disease PADNeurologic exam: Signs of either transient ischemic attacks TIAs or cerebrovascular accidents Strokes 