secondary causes of dyslipidaemia (eg, excess alcohol, uncontrolled diabetes, hypothyroidism, liver disease, CKD, Cushings, nephrotic syndrome, anorexia)
Drugs - eg, thiazide diuretics, glucocorticoids, ciclosporin, antiretroviral therapy, beta-blockers, combined oral contraceptive pill, atypical antipsychotics, and retinoic acid derivatives.
Pregnancy.
Obesity.

Refer
if cholesterol >9
or cholesterol >7.5 with FH premature CVD in 1st degree
If TG >10, repeat ensuring fasting >10hrs and refer if persistent

DON'T use QRISK

Examine - tendon xanthomata - knuckles, achilles and premature arcus senilis
Simon Broome criteria