RT Book, Section A1 Smith, Mindy A. A1 Baker, Jeffrey H. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164350081 T1 Osteoporosis and Osteopenia T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164350081 RD 2024/03/28 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 vertebral compression fractures (Figure 234-1A). 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 234-1B).