Chapter 1 Ambulatory office practice Osteoporosis Tamara
نویسنده
چکیده
Osteoporosis is asymptomatic until a fracture occurs; making the diagnosis and initiating treatment in the presymptomatic stage may prevent fractures. Measurement of bone mineral density (BMD) is a good but not perfect predictor of fractures. Introduction of the FRAX tool, which combines clinical risk factors and BMD, has improved assessment of fracture risk and therapeutic decision making. Secondary causes of osteoporosis (e.g. osteomalacia or hyperparathyroidism) should be considered in the evaluation of a patient with low BMD and fractures. Several effective therapies that improve BMD and reduce fracture risks are available; the choice of the drug should be individualized. Pregnancy and lactation are associated with demineralization of the mother’s skeleton, which is fully restored after weaning; consequently, multiparity is not a risk factor for osteoporosis.
منابع مشابه
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