Case #2: A 65-year-old Caucasian female has a follow-up appointment with a family orthopedist after visiting the emergency department for a wrist fracture. The orthopedist then turns her case over to you to schedule a bone mineral density (BMD) testing. Results of the BMD test show a T-score of -3.0, indicating osteoporosis. Her past medical history includes mild hypertension which is currently managed with propranolol. She also takes a daily multivitamin. She drinks and smokes occasionally and she has no children or spouse.
- What is the difference between degenerative bone disease and osteoporosis? Explain the pathology of each.
- What treatment options should be discussed with the patient?
- What lifestyle changes should be recommended to the patient?
Answers case # 2
1)What the difference between degenerative bone disease and osteoporosis?
-Degenerative bone disease -usually affect in the spine , morphological changes lumbar and intervertebral disc due to decrease in bone mineral density and common to elderly women.
-Osteoporosis- the bone become brittle and weak even just bending or coughing van cause fracture and usually affects ,hips ,wrist, and spine.
2)What treatment option should be discuss with the patient?
-Treatment that should be discussed ,the patient must know whats the cause especially in female hormonal changes on menopause ,, and life style like if smoke she must stop smoking ,,foods to eat rich in calcium ,vitamin D supplement or sunlight, mild exercise ,,and should take medication for osteoporosis , denosumab and hormonal therapy.
3)What life style changes should be recommend to the patient?
-stay healthy as possible , healthy food rich in calcium ,green leafy vegetables, dairy products, Vitamin D supplements, stop smoking and other activities bad for health ,, regular exercise like walking ,,avoid sports required physical contact. ,have enough rest and sleep ,visit doctor regularly .
Case #2: A 65-year-old Caucasian female has a follow-up appointment with a family orthopedist after visiting the emergency department for a wrist fracture. The orthopedist then turns her case over to you to schedule a bone mineral density (BMD) testing. Results of the BMD test show a T-score of -3.0, indicating osteoporosis. Her past medical history includes mild hypertension which is currently managed with propranolol. She also takes a daily multivitamin. She drinks and smokes occasionally and she has no children or spouse.
- What is the difference between degenerative bone disease and osteoporosis? Explain the pathology of each.
- What treatment options should be discussed with the patient?
- What lifestyle changes should be recommended to the patient?
Answers case # 2
1)What the difference between degenerative bone disease and osteoporosis?
-Degenerative bone disease -usually affect in the spine , morphological changes lumbar and intervertebral disc due to decrease in bone mineral density and common to elderly women.
-Osteoporosis- the bone become brittle and weak even just bending or coughing van cause fracture and usually affects ,hips ,wrist, and spine.
2)What treatment option should be discuss with the patient?
-Treatment that should be discussed ,the patient must know whats the cause especially in female hormonal changes on menopause ,, and life style like if smoke she must stop smoking ,,foods to eat rich in calcium ,vitamin D supplement or sunlight, mild exercise ,,and should take medication for osteoporosis , denosumab and hormonal therapy.
3)What life style changes should be recommend to the patient?
-stay healthy as possible , healthy food rich in calcium ,green leafy vegetables, dairy products, Vitamin D supplements, stop smoking and other activities bad for health ,, regular exercise like walking ,,avoid sports required physical contact. ,have enough rest and sleep ,visit doctor regularly ..