SQL Server 2008: TOP 10 and distinct together

The easy option is to use group by and select min/max for all other fields

SELECT TOP 10 
    p.id, 
    max(pl.nm),
    max(pl.val),
    max(pl.txt_val)
from 
    dm.labs pl
join 
    mas_data.patients p    
on 
    pl.id = p.id
  where 
    pl.nm like '%LDL%'
and 
    val is not null
group by 
    p.id

This can get quite tedious for wide table so the other option is to use rank over and partiion

SELECT TOP 10 
    p.id, 
     pl.nm, 
     pl.val, 
   pl.txt_val, 
    rank() over(partition by p.id order by p.id) as Rank
from 
    dm.labs pl
join 
    mas_data.patients p    
on 
    pl.id = p.id
  where 
    pl.nm like '%LDL%'
and 
    val is not null
and
    Rank = 1

select top 10 p.id from(select distinct p.id  from tablename)tablename

Try

SELECT TOP 10 distinct MyId FROM sometable;