Osteoporosis case study PDF

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Osteoporosis Case Study: 1. Following her vertebral fracture at T10, the patient was prescribed alendronate and calcium. Which additional pharmacotherapeutic agent should have been prescribed?

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Strontium ranelate (taken orally every day) At the time of her previous DEXA scans 19 months ago, was osteoporosis present in the spine, femur, and radius? Based on the results of her DEXA scan 19 months ago osteoporosis was only present in the lumbar spine and not in the femur or the radius. Based on the information provided so far, which type or types of osteoporosis does this patient have? Type 1 osteoporosis Which risk factors does this patient have that have made her susceptible to bone loss? Age, smoking, family history of osteoporosis, her being a small frame, and her physical inactivity. Her medications could also make her more at risk for osteoporosis. Which findings in the physical examination above are consistent with a diagnosis of osteoporosis? Point tenderness with palpation of bony prominence at L2, limited flexion and extension of the back, and significant lumbar lordosis. Is osteopenia or osteoporosis the appropriate diagnosis in the… a. Lumbar spine – osteoporosis b. Right femoral neck – osteopenia c. Right radius – osteopenia Which single laboratory test in Table 79-2 was significantly high? Alkaline phosphate.

8. Provide three reasons for this patient’s abnormal serum 25, OH-vitamin D concentration. One reason could be that the patient needs to have more vitamin D in her diet, milk with breakfast and cheese a few times a week is not an adequate diet Another reason could be the sunscreen that the patient is wearing could be blocking the Vitamin D she would normally get from the sun. In addition, it could be prednisone that the patient has been taking for her asthma. This could be inhibiting vitamin D absorption.

9. Provide one good reason for why this patient is not taking hormone replacement therapy for vaginal dryness and hot flashes and as prophylactic therapy for postmenopausal osteoporosis. One good reason could be that the patient has a family history of breast cancer and the hormone replacement therapy could increase her risk for breast cancer. 10. Distinguish between lordosis and kyphosis. Lordosis is an excessive inward curvature of the spine. Kyphosis is an excessive outward curvature of the spine resulting in hunching of the back. 11. Is this patient’s thyroid function normal or abnormal? Normal 12. Is this patient’s parathyroid function normal or abnormal? Normal 13. Are there any indications that this patient also has type 2 osteoporosis? Yes...