fibromyalgia/osteoporosis Flashcards
I came in to see my physician assistant because of…
Widespread pain Bowel and bladder issues Fatigue Weakness Palpitations Sleep issues
fibromyalgia
fibromyalgia may occur with spontaneous or may occur with what
RA, SLE, Sjogren syndrome
describe fibromyalgia pain
above and below the waist that is bilateral and axial for a duration of at least 3 months
underlying diseases with fibromyalgia
hypothyroidism, hep C, Vit D defiency
fibromyalgia tx
Treatment
Cognitive behavioural therapy
Antidepressants
Exercise
primary osteoporosis types and gender
type 1 (postmenopausal) mainly in women; most common type type 2 (senile) occurs in both genders
osteoporosis type 1 affects what bone
and common fracture sites
trabecular; vertebrae, hip, and distal radius most common fracture sites
osteoporosis type 2 affects what bone
and common fracture sites
trabecular and cortical bone
hip and pelvis
osteomalacia
mineralization defect often due to severe vitamin D deficiency that presents with bone pain, decreased calcium/phosphorus, and secondary hyperparathyroidism
biphosphonates
1st line tx for osteoporosis;
take on empty stomach, sit upright for 30-60 minutes;
long term use: jaw necrosis
HRT
tx osteoporosis; risk of MI, stroke, breast cancer, blood clots
selective estrogen receptor modulators risk
for DVT
teriparatide(PTH analog)
good for osteoporosis tx; use longer than 2 years has risk of osteosarcoma
xray in osteoporosis
global demineralization is apparent after >30% of bone density is lost
fractures cause __% of mortality with low BMD/osteoporosis
50%
