Osteoporosis - Mx Flashcards
Screening;
The ? tool should be used in general practice for patients over ? to estimate the risk of a ? fracture.
This uses multiple ? details to give a ‘high’, ‘intermediate’ or ‘low’
risk of ? fracture.
If the ?-year risk low, the patients can be re-assured, if high then treatment
should be advised, and if intermediate then ? ? should be offered.
FRAX 50 fragility demographic fragility 10 dexa scanning
Patients with ? should be given advice on lifestyle factors (stop ?, limit ?, increase ? and dietary
? intake).
? DXA scans should be offered to this group.
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Patients with BMD in the ? range should be offered treatment;
-? bisphosphonates (? acid) are first line;
–> 0 Act to decrease bone ? and allow ? of existing bone to increase.
–> 0 These can give troublesome ? side effects, and NICE recommend
switching alendronic acid to ? if these are not tolerated.
–> 0 A rarer complication is ? of the ?.
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Vitamin ? should also be given as an adjunct for those not exposed to much
? (e.g. in a nursing home), along with ? if the persons ?
intake is judged to be inadequate.
- ? is a combined calcium and vitamin D supplement.
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? should be considered only in women with premature ?
(before ?) to reduce the risk of ? fractures and for the relief of ? symptoms.
? replacement therapy can be given in males with hypogonadism.
Fracture ? and ? should then be re-measured at ? years.
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More specialist treatments include ? (osteoclast inhibitor) and recombinant ? (daily ? injection, beneficial due to the daily peaks and
troughs mimicking a circulating ?, rather than sustained ? in
hyper? which leads to bone loss).
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