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Medgeeks Clinical Review Podcast

PA Boards 58: Osteoporosis

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7989 Ratings

🗓️ 5 June 2015

⏱️ 8 minutes

🧾️ Download transcript

Summary

Osteoporosis highlights:

-skeletal disease of low bone density
-Risk factors: Secondary amenorrhea, smoking, glucocorticoids
-All women over 65 screened with DEXA
-T score >-2.5 = osteoporosis
-Everyone gets Calcium/Vitamin D
-First line treatment is Bisphopshonate Therapy

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Transcript

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0:00.0

Welcome to episode 58 of the Physician Assistant Boards.com podcast and today's topic is going to be on osteoporosis, a very boring and dreadful subject, but something that you need to know for the boards and

0:13.8

something you definitely need to know for clinical practice.

0:17.1

Osteoporosis is incredibly common and it was estimated that about 10 million

0:21.6

people were diagnosed with osteoporosis a few

0:25.0

years back. So incredibly common. Now what's interesting is that a lot of

0:29.6

us place a lot of priority in trying to diagnose osteoporosis in women, but the reality is

0:36.3

39% of all osteoporetic fractures actually occur in males.

0:41.2

So don't forget your male population when looking for osteoporosis. It can still happen

0:46.2

in males, right? So osteoporosis, let's dive right into what it actually is and the definition is incredibly simple.

0:56.0

Osteoporosis is a skeletal disease that results in low bone density.

1:00.7

That's all it is.

1:01.9

And these patients because they have this low bone

1:03.8

density, are going to be at increased risk for fracture, and usually it's going to

1:07.8

be the vertebral fracture that you're going to be looking for. Now it's usually going

1:12.0

to affect women over 50 but like I stated

1:14.0

don't forget the male population. Fractures still occur in males due to

1:19.8

osteoporosis, but you're usually going to be looking for a vertebral fracture and over

1:24.8

women and over the age of 50 and you're going to be looking for risk factors.

1:29.2

And these risk factors are going to include smoking, secondary amenaria, and glucocorticoid use.

1:36.2

So we have our profile that we're looking for.

1:40.2

We're going to be looking for a woman that's over 50 and we're going to diagnose this using something called a Dexa scan and it's going to be a Dexa scan of the hip

1:48.3

Now as far as guidelines go you're going to screen everybody, every woman, over the age of 65, and the reason being,

...

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