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6 Cards in this Set
- Front
- Back
Risk factors for Osteoporosis |
- Female - Older age - Previous fragility fracture - Family history - Smoking - Low oestrogen (ie post-menopause) - Corticosteroid use - Low vit D exposure, calcium intake |
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Dexa Scan T-score: Osteoporosis |
T-score <-2.5 |
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Dexa scan T-score: Osteopenia |
T-score<-1.0 |
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Osteoporosis definition |
A reduction in bone density AND a deterioration of bone architecture |
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Osteoporosis: Relevant Ix |
1) DEXA scan! 2) X-rays 3) Find cause: -Serum calcium, vit D, phosphate - Serology for coeliac (malabsorption?) - U & E (CKD?) - Parathyroid hormone - Thyroid hormone 4) ALP - |
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Osteoporosis: Pharmacological Mx |
1) Calcium + vit D supplements 2) Bisphosphonates --> eg Alendronate 3) Anti-resorptive agents --> HRT eg Tibolone or SERM eg Raloxifene 4) Monoclonal antibody --> eg Denosumab 5) Synthetic parathyroid --> eg Teriparitide |