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Case #15

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Definition of terms
]

OSTEOPENIA
decreased bone mass, embracing both Osteomalacia (softening of bones) and osteoporosis.

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Primary Osteoporosis

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SECONDARY OSTEOPOROSIS- is relatively uncommon, and may be due to a variety conditions (chronic renal, various drugs, endocrine disorder and malabsorption syndrome) CAUSATION- interplay of different factors

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PATHOPHYSIOLOGYOste
oporosis is distinctly multi-factorial. Osteoporotic fractures occur because of a combination of injury and intrinsic bony fragility. Aside from that, there is so called resorption and deposition:The optimal point or the balance point of the two processes are determined by the activities of two principle cell namely the osteoclasts and osteoblasts, which are derived from the blood cell lineage.

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THE CASE

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64-year old woman have tripped in her garden and have fallen rather gently onto her right arm that resulted to swelling and pain just above her right wrist joint. X-ray showed a fracture of the distal end of the radius with the displacement and showed decrease or radiodensity suggestive of osteoporosis.

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Appropriate cast was applied and she was ask to visit her family doctor two weeks from the incident. In view of the fracture, her family doctor ordered her to undergo the ff: DEXA-dualenergy-x-ray absorptiometry to assess BONE DENSITY, X-rays of lower back (spine), Serum Ca, P, & alkaline phophatase, 25hydroxyvitamin D, Parathyroid hormone, and Complete urinalysis.

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RESULTS: -3SD of DEXA (positive of osteoporosis)

-Lower spine-decrease bone density

-Normal limits on urine and blood tests means no other bone disorder diagnosed

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Lets Investigate
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O M

NG KI

ium Interferes calc absorption

f ne pack o PUFF o y rette a da ciga

PATIENTS

HISTORY

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CONTINUATION: *no vitamin and mineral supplementations *never taken hormonal treatment for menopause ESTROGEN- helps maintain the health and normal density of womans skeleton *ate very few fruits and vegetables *with high CHO diet with liberal fats *Drinks vodka during evenings *rarely exercise and complain lower back pain

The HISTORY (Hx)

CAUSATION: poor diet, inhibitors of nutrient absorption, and insufficient weight bearing exercise

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TREATMENT

Exercise under supervision of a personal trainer Smoking

Dietitian Stopped Cut

down Alcohol consumption of calcium citrate and Vitamin D

Dose

FOLLOW-UP -She lost weight and maintained exercise program. In general, she felt more healthy than she had done in the previous 20 years. Her

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OSTEOPOROSIS makes bones so fragile that even a hug or sneeze can cause bone fracture.

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Doo away with soft drinks

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got

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DRINK 2 CUPS DAILY

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QUIT THE
NICOTINE ADDICTION

LEARN SUPPLEMENTATION

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EXERCISE: Make it a habit

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BeFOre Its Too LaTe

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Who knows you may become

some
COOL

LOLA
IN THE NEAR FUTURE

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WITH

SWEET
STRONG BONES
By: Gracielle Ma. Rosette B. Enobio BS-ND3