Osteoporosis
- Created by: MazzaW
- Created on: 15-11-19 13:51
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- Osteoporosis
- Risk factors
- Female
- Post-menopausal
- Elderly
- Low BMI
- Tall
- Steroids
- Cushing's syndrome
- FH
- Smoking
- Alcohol
- Hypo-gonadism
- Secondary osteoporosis
- Malabsorption
- Hepatic or renal disease
- Endocrine disease
- Cushing's
- Hypo-gonadism
- Hyperpara-thyroidism
- Thyrotoxicosis
- Drugs
- Steroids
- Anti-convulsants
- Rheumatoid arthritis
- Osteogenesis imperfecta
- Diagnosis
- BMD score
- T-score < -2.5 = osteoporosis
- T-score -1 to -2.5 = osteopenia
- Measured by DEXA scan at hip and spine
- Z-score is compared to age-matched population
- Previous pathological fracture
- Low impact
- Often at hip/wrist
- BMD score
- Patho-physiology
- Reduced bone mass
- Normal biochemistry of bone
- Mgmt
- Calcium and vitamin D supplements
- Lifestyle interventions
- Reducing falls/fracture risk
- Exercise
- Stop smoking + alcohol
- Bis-phosphonates
- HRT
- PTH injections
- Risk factors
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