Metabolic Bone Disease Flashcards

1
Q

what cells build bone

A

osteoblasts

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2
Q

what cells break bone

A

osteoclasts

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3
Q

what happens to vitamin d

A

absorbed from the skin goes to the liver then the kidney

contributes to the metabolism of calcium

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4
Q

what is the pathology of pagets disease

A

disorder of the bone turnover which muscles affects the long bones and skulll bones.
increase bone resorption and increase bone formation-disorganised bone which is bigger and less compact

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5
Q

what is the cause of pagets disease

A

strong genetic component

possible virus

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6
Q

what are they symptoms of pagets disease

A

> 40
bone pain e
excessive heat over bone
high serum alkaline phosphatase

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7
Q

what is the treatment of pagets disease

A

IV biophosphonase therapy

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8
Q

what is the pathology of rickets and osteomalacia

A

severe nutritional vitamin C or ca deficient

osteomalacia is in adults as they have stopped growing

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9
Q

what does vitamin d do in the body

A

it promotes the absorption of ca from gut so it can become available for bone mineralisation

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10
Q

what is osteogenesis imperfecta

A

genetic disorder of connective tissue characterised by fragile bones

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11
Q

what are the signs and symptoms of osteogenesis imperfecta

A

growth deficiency
hearing loss
scolioisis
defective tooth formation

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12
Q

what is the management for osteogenesis imperfecta

A

surgical to treat fractures

medial to prevent fractures IV biophosphonates

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13
Q

what is osteoporosis

A

metabolic bone disease characterised by low bone mass and deterioration of bone leading to enhances fragility and risk of fracture

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14
Q

how common is osteoporosis

A

1 in 2 women over 50

1 in 5 men

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15
Q

what are endocrine causes of osteoporosis

A

thyrotoxicosis
hyper and hypo parapthyroidism
cushings
early menopause

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16
Q

what are the rheumatic causes of osteoperosis

A

rheumatoid arthritis

analysing spondylitis

17
Q

what are some medications causing osteoperosis

A

steroids
PPi
warfarin

18
Q

how do we prevent osteoporotic fractures

A

minimise risk factors
good vitamin d and ca
medications

19
Q

what is BMD

A

bone mineral density

20
Q

what is above -1

A

normla

21
Q

what is between -1-2.5

A

osteopenia

22
Q

what is below -2.5

A

osteoperosis

23
Q

what are side effects of hormone replacement therapy

A

increased blood clot risk
increased risk of breast cancer
increased risk of heart disease and stroke

24
Q

what is an SERM

A

selective oestrogen receptor modulator

25
Q

what is the first line of treatment

A

oral biophosphonates -increases bone remodelling
need good renal function , good dental health and hygiene
alendronic acid

26
Q

side effect soft biophosphates

A

dental and jaw breakage , osteonecrosis of the jaw

27
Q

what is denosumab

A

monoclonal antibody of RANL stops osteoclasta

SC injection every 6 months

28
Q

what is teriparatide

A

antiresorptive, injection, parathyroid