#47: Osteoporosis Part 2: bone markers, fracture risk, and more on calcium and Vitamin D
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
4.8 • 3.1K Ratings
🗓️ 10 July 2017
⏱️ 62 minutes
🧾️ Download transcript
Summary
Solidify your knowledge of osteoporosis and osteopenia in this discussion with Endocrinologists and osteoporosis guideline authors, Dr. Rachel Pessah-Pollack, and Dr. Dan Hurley from the American Association of Clinical Endocrinologists (AACE). Learn when to start therapy after an acute hip fracture, how to use bone turnover markers to assess fracture risk, more on how to dose calcium and vitamin D, and finally, we discuss the new American College of Physicians (ACP) guidelines and how they differ from the AACE guidelines on osteoporosis.
For a more basic talk on osteoporosis check out episode #18 w/Dr. Pauline Camacho.
Full show notes available at http://thecurbsiders.com/podcast
Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected].
Time Stamps
00:00 Intro
03:00 Picks of the week
07:31 Guest and topic intro
10:25 Rapid fire questions
14:45 Clinical Case and defining osteoporosis
17:00 FRAX score
20:35 Secondary evaluation for cause of bone loss
20:54 Bone turnover markers (telopeptides)
23:17 Alkaline phosphatase
26:30 Calcium and Vit D
29:35 Recap of teaching points so far
31:25 Antiresorptive versus anabolic therapy
32:40 Aromatase inhibitors increase fracture risk
34:28 When to start therapy after fracture
35:44 Mechanism of action recombinant PTH
41:38 Vitamin D assay and dosing
46:53 Calcium intake, and formulations
49:45 Take home points
50:54 Recap and discussion of AACE vs ACP guidelines by The Curbsiders
59:42 Outro
Tags: bone, osteoporosis, anabolic, osteopenia, vitamin D, calcium, fracture, density, AACE, guidelines, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Hey everyone, it's Matt from The Curb Siders. |
| 0:03.1 | Wanted to welcome any new listeners we have and say thanks for returning to any old listeners. |
| 0:08.0 | And for the first few minutes of tonight's show, you might notice that our audio is not |
| 0:12.9 | up to our normal high quality standard. |
| 0:16.1 | The rest of the episode after about the 5-7 minute mark is our normal high quality audio. |
| 0:22.4 | Please bear with us. |
| 0:23.4 | You can skip the first 5-7 minutes if you want, but I recommend you listen to it. |
| 0:27.8 | There are some good picks of the week in there. |
| 0:30.0 | Thanks and enjoy the show. |
| 0:31.8 | Ace is the space with the helpful Indu-Krin. |
| 0:39.0 | I got to finish that one. |
| 0:40.6 | You're trying to go like... |
| 0:42.6 | Nope, it's salad gold, leave it just as it is. |
| 0:48.2 | I just wanted to come up with like a meme for them. |
| 0:57.8 | Welcome back to The Curb Siders. |
| 1:04.5 | The High Kent How are you? |
| 1:08.0 | We're going by middle names tonight, Nelson. |
| 1:11.0 | Paul. |
| 1:12.0 | Oh, Nelson. |
| 1:13.0 | This is a fun game. |
| 1:15.0 | It's really a... |
| 1:16.0 | Paul, is that really your middle neighbors? |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2025.