Osteoporosis

Question 1

At what age do we investigation for osteoporosis?

Answer 1

All women >65 and all men >75

Question 2

When would we investigation someone younger for oestoporosis?

Answer 2

History of multiple fractures
FHx of hip fractures
Use of meds like steroids
History of falls
Low body mass index
Alcohol intake >14 units

Question 3

FRAX Score

Answer 3

estimates 10 year fragility fracture risk
40-90 years old

Low- reassure
Intermediate- offer DEXA
High- Start treatment

Question 4

QFacture

Answer 4

estimates 10 year fragility fracture risk
30-99 years old

Question 5

when might we go straight for DEXA scan rather than use risk scores?

Answer 5

About to start treatment which affects bone density such as tamoxifen

Profound risk in those under age 40

Question 6

what are the profound risks in those under age 40 where we would consider a DEXA scan over a risk score?

Answer 6

Hx of multiple fragility fracture
High dose glucocorticoids (>7.5mg Pred or equivalence daily for 3 months or more)