RT Book, Section A1 Usatine, Richard P. A1 Smith, Mindy A. A1 Chumley, Heidi S. A1 Mayeaux, E.J. SR Print(0) ID 57685537 T1 Chapter 225. Osteoporosis and Osteopenia T2 The Color Atlas of Family Medicine, 2e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176964-8 LK accessmedicine.mhmedical.com/content.aspx?aid=57685537 RD 2024/03/29 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).