Clinicals Flashcards
Kyphosis
Kyphosis is a curving of the spine that causes a bowing or rounding of the back, which leads to a hunchback or slouching posture.
Antalgic gait
Antalgic gait is a form of gait abnormality where the stance phase of gait is abnormally shortened relative to the swing phase. It can be a good indication of pain with weight-bearing.[1]
TOMEO
tTumor screening tOsteopenia screening tMarrow screening tEndocrine screening tOsteomalacia screening
Laboratory test for TOMEO
FBC, Chemistries Serum electrophoresis Bence Jones proteins (MM) Thyroid function tests Diabetes evaluation Tc bone scan (metastases?) CT, MRI
Osteoporosis
Osteoporosis is a disease of bones that leads to an increased risk of fracture
Osteoporosis is usually found where?
Shoulder, wrist, hip, vertebrae
Risk factors of osteoporosis
Early menopause Cigarette smoking Ex caffeine Ex alcohol Exercise induced amenorrhea Inactivity
Dietary requires for osteoporosis
High fibre
High protein
High phosphate
Treatment for osteoporosis
Increase bone mass: calcium 1500 mg, vit d 400 units
Di phosphates, fluoride.
Decrease bone loss: calcitonin ( decrease osteoclasts ), estrogen and progestin.
Exercising
Which drug can be given for osteoporosis ?
Fosamax or alendronate
Oral increase bone mass
Contraindications of taking estrogen and progesterone
History of breast cancer
Thromboembolism
Endometrial disease
Osteomalacia (adult rickets)
Vit D deficiency, dietary malabsorption , impaired vit d synthesis , liver, renal, hypophosphatemia.
Looser’s zones
Osteomalacia
Rx for osteomalacia
1000 iu of weekly vit d for 4-6 weeks
Malignant tumors are
Poorly defined cortical breakthrough