TY  - CHAP
M1  - Book, Section
TI  - Chapter 225. Osteoporosis and Osteopenia
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - An  83-year-old  woman  accompanied  by  her  56-year-old  daughter  presents  to  the  office  with  severe  upper  back  pain  over  the  past  2  days.  Her  medical  problems  include  hypothyroidism,  for  which  she  is  on  replacement  medication,  and  mild  hypertension,  which  is  controlled  with  a  diuretic.  She  has  known  osteopenia  and  was  taking  calcium  and  vitamin  D  but  had  not  tolerated  a  bisphosphonate.  Physical  examination  reveals  moderate  thoracic  kyphosis  and  tenderness  over  several  lower  thoracic  vertebrae.  A  plain  radiograph  demonstrates  a  vertebral  compression  fractures  (Figure  225-1A).  The  daughter  asks  about  management  options  for  pain  and  prevention  of  future  fractures  and  also  about  screening  for  herself.  As  there  was  a  suggestion  of  multiple  compression  fractures  a  CT  was  ordered  to  better  visualize  the  fractures  (Figure  225-1B).  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/20
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57685537
ER  -