primary osteoporosis, and Treat the secondary cause or consider an e-consult with Endocrinology. No Yes N/A Treat the secondary cause and re-check DEXA in 2–3 years, or consider an e-consult with Endocrinology. No No N/A Offer pharmacologic treatment for primary osteoporosis. Patients diagnosed with low bone mass by DEXA (T-score between -1.0 Secondary prevention of osteoporosis post minimal trauma fracture in an Australian regional and rural population. Aust J Rural Health 2009;17:310–15. Ewald DP, Eisman JA, Ewald BD, et al.

It may be suspected in patients who present with a fragility fracture despite having no risk factors for osteoporosis. In addition, secondary osteoporosis should be considered if the bone density Z-score is -2.5 or less. Consider the f … diagnostic for osteoporosis. Assess for secondary causes of osteoporosis (see p. 5). Men and women of any age with conditions known to be secondary causes of osteoporosis No Every 2–10 years depending on initial T-score See p.

Ewald DP, Eisman JA, Ewald BD, et al. Population rates of bone densitometry use in Australia, 2001–2005, by sex and rural versus urban location. Corticosteroid induced osteoporosis Corticosteroids are the most common secondary cause of OP, with up to 30–50% of people receiving long term corticosteroid treatment sustaining a fracture.

Women who suffer from anorexia or bulimia often have abnormal Secondary osteoporosis is caused by pathologies or medications, differing from the bone loss explainable by the post-menopausal stage or by ageing. The possible pathologies that can condition the loss of bone mass are very varied: endocrinological, digestive, genetic, haematological, rheumatic, post-transplant, pharmacological and a wide miscellaneous group.

Objectives: Outline the causes of secondary osteoporosis. Osteoporosis update Diagnosis & Management from: AAFP, NOF, AACE, Uptodate 2017 Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. Secondary osteoporosis resulting from specific clinical disorders may be potentially reversible, and thus continuous efforts to find and adequately treat the secondary causes of skeletal fragility Risk factors for osteoporosis include female gender, non-Hispanic white ethnicity, smoking, and low BMI. Secondary prevention of fractures is an important component of care following a hip fracture. If a patient with untreated osteoporosis has a fracture, start pharmacotherapy to prevent future fracture. SECONDARY OSTEOPOROSIS Drugs and Diseases that can Cause Bone Loss, Falls and/or Fractures T here are several well known risk factors for osteoporosis and osteoporotic fractures such as age, sex, low body weight, a low bone mineral density, a past fragility fracture, having a parent who had a hip fracture and a past history of fall(s).
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Objective: To review several causes of secondary osteoporosis as well as screening recommendations for underlying disorders. Methods: We conducted a review of the literature on many of the causes of osteoporosis that have been published during the past 15 years, focusing on those sources available from 2000 through the present. Secondary osteoporosis results from medical conditions or treatments that interfere with the attainment of peak bone mass and/or may predispose to accelerated bone loss. Although secondary osteoporosis is less common, it is becoming more frequently diagnosed.

Think you may have arthritis? Learn about the four most common warning signs. Information about symptoms, health and lifestyle habits will help de Osteoporosis is a condition characterized by a decrease in the density of bone, leading to reduced bone strength and fragile bones that are prone to fracture.
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Secondary Osteoporosis. Secondary osteoporoses are the consequence of specific clinical disorders and medications, including a variety of endocrine, gastrointestinal, rheumatologic, and genetic diseases that cause low bone mineral density (BMD), either by interfering with attainment of peak bone mass or by increasing rates of involutional bone loss. Secondary osteoporosis is a common type of osteoporosis in clinical practice.

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Advertisement Osteoporosis, the thinning of bone tissue and loss of bone density over time, can be p Drugs called bisphosphonates are the most common treatment for osteoporosis.

Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women: A Clinical Practice Guideline Update From the American College The American Academy of Family Physicians (AAFP) said it endorses the new osteoporosis treatment guidelines issued by the American College of Physicians (ACP). The new guidelines, which include a clinical practice guideline, recommend that women with osteoporosis be treated with biphosphonates. Se hela listan på emedicine.medscape.com Osteoporosis is the consequence of continued bone loss throughout adulthood, low achieved peak bone mass, or both. We recommend maintaining peak bone mass for all patients. To achieve and maintain maximum bone density, patients should have medical history and risks for osteoporosis reviewed when they present to their clinician's office. Secondary Hyperparathyroidism: “Patients with normocalcemic hyperparathyroidism may present with low bone density, osteoporosis, or a fragility fracture. Many of these patients will probably evolve into having hyperparathyroidism” AAFP 2013.

A decrease in BMD suggests noncompliance, inadequate calcium and vitamin D supplementation, an unidentified secondary cause of osteoporosis, or treatment failure. Importantly, this recommendation applies only to asymptomatic men who have no history of low-trauma fractures, who have no conditions that may cause secondary osteoporosis, and who are not taking Se hela listan på aafp.org Secondary osteoporosis: a review of the recent evidence. The causes of secondary osteoporosis are numerous, and an understanding of their characteristics with respect to bone density and potential fracture risk is essential in the management of osteoporosis. A heightened awareness of the possibility of their existence is necessary to provide Secondary osteoporosis is less common than primary osteoporosis. It may be suspected in patients who present with a fragility fracture despite having no risk factors for osteoporosis. In addition, secondary osteoporosis should be considered if the bone density Z-score is –2.5 or less. Secondary osteoporosis results from medical conditions or treatments that interfere with the attainment of peak bone mass and/or may predispose to accelerated bone loss.