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    Osteoporosis Case Study

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    Dylan Gerlach
    This case study describes a 71-year-old white female patient with multiple risk factors for osteoporosis including her age, gender, race, family history, small frame size, and use of medications like Nexium and Femara that can contribute to bone loss. She has a sedentary lifestyle, history of smoking, and low calcium intake which are secondary causes. Her current medications include calcium and multivitamin supplements, as well as Fosamax for osteoporosis treatment and prevention. The physician could consider adjusting her Synthroid dosage given her potential hyperthyroid state to reduce fracture risk. Osteoporosis is characterized by low bone mass and increased fragility leading to fractures, caused by

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    Osteoporosis Case Study

    Uploaded by

    Dylan Gerlach
    698 views2 pages
    This case study describes a 71-year-old white female patient with multiple risk factors for osteoporosis including her age, gender, race, family history, small frame size, and use of medications like Nexium and Femara that can contribute to bone loss. She has a sedentary lifestyle, history of smoking, and low calcium intake which are secondary causes. Her current medications include calcium and multivitamin supplements, as well as Fosamax for osteoporosis treatment and prevention. The physician could consider adjusting her Synthroid dosage given her potential hyperthyroid state to reduce fracture risk. Osteoporosis is characterized by low bone mass and increased fragility leading to fractures, caused by

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    Osteoporosis risk factors

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    This case study describes a 71-year-old white female patient with multiple risk factors for osteoporosis including her age, gender, race, family history, small frame size, and use of medications like Nexium and Femara that can contribute to bone loss. She has a sedentary lifestyle, history of smoking, and low calcium intake which are secondary causes. Her current medications include calcium and multivitamin supplements, as well as Fosamax for osteoporosis treatment and prevention. The physician could consider adjusting her Synthroid dosage given her potential hyperthyroid state to reduce fracture risk. Osteoporosis is characterized by low bone mass and increased fragility leading to fractures, caused by

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    698 views2 pages

    Osteoporosis Case Study

    Uploaded by

    Dylan Gerlach
    This case study describes a 71-year-old white female patient with multiple risk factors for osteoporosis including her age, gender, race, family history, small frame size, and use of medications like Nexium and Femara that can contribute to bone loss. She has a sedentary lifestyle, history of smoking, and low calcium intake which are secondary causes. Her current medications include calcium and multivitamin supplements, as well as Fosamax for osteoporosis treatment and prevention. The physician could consider adjusting her Synthroid dosage given her potential hyperthyroid state to reduce fracture risk. Osteoporosis is characterized by low bone mass and increased fragility leading to fractures, caused by

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Case Study: Osteoporosis

    1. What are some main risk factors for osteoporosis?


    Women.
    Increased age.
    White or of Asian descent.
    Parent or sibling with h/o osteoporosis.
    FHx of hip fractures.
    Small body frame.
    CA tx (women can experience drop in estrogen, men can experience drop in testosterone with prostate CA tx).
    Drop in testosterone with age (men).
    Menopause (decreased estrogen).
    Hyperthyroidism (can be due to overactive thyroid or iatrogenic 2/2 excess hypothyroid tx).
    Hyperactive parathyroid glands.
    Hyperactive adrenal glands.
    Low calcium intake.

    2. Which main risk factors does this patient have?


    Female.
    Increased age (71 y/o).
    White.
    Small frame (50 110 lbs).
    Mom has h/o osteoporosis.
    Mom has h/o hip fracture.
    3. What are some classes of medications that can contribute to mineral loss associated with osteoporosis? (Name 5). Is
    this patient on any medications that could be contributing? (Y or N, name them).
    Corticosteroids (prednisone, cortisone).
    Anticonvulsants.
    Depression meds.
    GERD meds. Yes, pt is on Nexium.
    Chemotherapy. Yes, pt is on Femara for breast CA.
    Transplantation rejection meds.
    Thyroid meds. Yes, pt is on Synthroid.
    4. What are some secondary causes of osteoporosis and which ones does this patient have? (Medical conditions, lifestyle
    or dietary factors, etc.)
    Sedentary lifestyle.
    Low calcium intake.
    Rheumatoid arthritis.
    Eating disorders (e.g. anorexia).
    GI Sx (causing decreased absorption of calcium).
    Excessive alcohol consumption (>2 drinks of EtOH/day).
    Patient has:
    Tobacco use smokes PPD for 40 years.

    5. What are some nutritional causes of osteoporosis?


    Low calcium intake.
    Anorexia nervosa.
    Bulimia.
    Excessive EtOH consumption.
    6. Which nutritional supplements is the patient on and which other nutritional deficiencies could be potentially
    contributing to her diagnosis?
    Pt currently taking calcium supplement and multivitamin.
    It is unknown if pt is anorexic.
    7. Any medicines or supplements above that could be stopped or switched with a different medication for this patients
    condition?
    Physician could recheck T3, T4 levels to determine if further Synthroid tx is necessary. If unnecessary, pt could have
    Synthroid tx stopped to reduce hyperthyroid state.

    8. What is the class of medications that is used for the prevention and treatment of osteoporosis?
    Bisphosphonates acts to inhibit osteoclast-mediated bone resorption.
    Pt is currently on Fosamax, which is a bisphosphonate.

    Osteoporosis facts:
    Disease characterized by reduced bone mass and increased skeletal fragility that leads to an increased risk in fractures
    (particularly of hip, spine and wrist)
    Caused by an imbalance between new bone formation and old bone resorption
    Leading cause of osteoporosis is lack certain hormones: estrogen (women), testosterone (men)
    Affects 10 million Americans (another 34 at risk for it)
    Sxs:
    Early in course: asymptomatic
    Onset of pain: dull pain in bones or muscles, particularly LBP or neck pain
    Later in course: sharp pains may come on suddenly, that can be made worse by activity that puts weight on the
    area. May be accompanied by tenderness and generally begins to subside in one week. Pain may linger more than three
    months.
    Spinal compression fractures result in loss of height with a stooped posture (aka dowagers hump)
    Fractures at other sites, commonly the hip or bones of the wrist, usually result from a fall

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