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Endocrinology Review: Adrenal, thyroid & bone
Endocrinology Review: Adrenal, thyroid & bone

... Osteoporosis & fractures • Osteoporosis is a significant risk factor for fractures • Fractures occur when a failure-inducing force is applied to osteoporotic bone ...
Metabolic_Bone_Conditions
Metabolic_Bone_Conditions

... Answer #2: Which hormone is the most important for regulating serum calcium levels because it acts directly on bone and kidneys? a. Parathyroid Hormone. Rationale: As noted earlier, this hormone acts directly on bone and kidneys ...
Bone Remodeling
Bone Remodeling

Parathyroid Gland
Parathyroid Gland

... the digestive tract. PTH Therapy has been used on people with osteoporosis and has had a proven effect on increasing bone densities in those with bone diseases. Disorders Primary Hyperparathyroidism is when the parathyroid gland grows to create a tumor. The enlarged gland secretes hormones without p ...
Bone Density Backgrounder
Bone Density Backgrounder

... remodeling. During the course of a year, between 10 and 30 percent of the skeleton is replaced. Small cells in the bone break down old bone, while other cells form new bone from protein, vitamins, and calcium. The most abundant mineral in the body, calcium is essential throughout one's life to build ...
estrogen depletion is associated with decreases in compact bone
estrogen depletion is associated with decreases in compact bone

... Introduction: Compact bone is a viscoelastic material (2,10). Using constant strain-rate experiments, Carter and Hayes (1), determined that the Young’s modulus of trabecular bone is proportional to strain rate to a small (0.06) power. Whether this relationship changes significantly with age, disease ...
student presentation
student presentation

... maintenance of calcium blood levels. First, it’s important to know we cannot have too much or too little bone mass. Through resorption by osteoclasts (taking in old bone matrix) and deposition by osteoblasts (putting out fresh bone matrix) the bone tissue of an adult skeleton remains relatively cons ...
Glucocorticoid-Induced Bone Disease
Glucocorticoid-Induced Bone Disease

... Common, iatrogenic form of secondary osteoporosis Associated with corticosteroid use in chronic, noninfectious medical conditions ...
An_unusual_caseJPS_7.. - Jennifer Schneider M.D.
An_unusual_caseJPS_7.. - Jennifer Schneider M.D.

... and also nonunion of the spiral femoral fracture that resulted from the stress fracture . A spontaneous stress fracture of the femur is so unusual that neither her orthopedic surgeon nor the radiologist who read the bone scan even considered that diagnosis in their differential. Consequently, the pa ...
Osteoporosis: Part I. Evaluation and Assessment
Osteoporosis: Part I. Evaluation and Assessment

... and by the infant during lactation. The axial spine and hip show losses of bone mineral density during the first six months of lactation, but these losses appear to be completely restored six to 12 months after weaning.13 A summary of risk factors is presented in Table 2. ...
11) treatment of osteoporosis What is osteoporosis? — Osteoporosis
11) treatment of osteoporosis What is osteoporosis? — Osteoporosis

... from broken bones in the spine. Denosumab — Denosumab is a new medicine for osteoporosis. If other osteoporosis medicines cause bad side effects or do not help, your doctor might give you denosumab. It might also be a good choice for people with kidney problems. Because denosumab is newer than other ...
Care Working Group - Osteoporosis Canada
Care Working Group - Osteoporosis Canada

... Serum protein electrophoresis should be performed in individuals with vertebral fractures In selected patients, based on clinical assessment, additional biochemical testing should be considered to rule out secondary causes of osteoporosis ...
exercise - Rackcdn.com
exercise - Rackcdn.com

... • 27 million Americans • F>M (after age 50) • Other risk factors • Genetics • Weight • Prior injury • With similar amounts of radiographic changes – OA is ...
Osseous Tissue (Bone Tissue)
Osseous Tissue (Bone Tissue)

... Bone Remodeling • constant balance of bone deposit and removal that occurs throughout your life • bone deposit occurs at a greater rate when bone is injured • bone reabsorption allows calcium of degraded bone matrix to move into the blood. ...
Are Bisphosphonates Safe for Long
Are Bisphosphonates Safe for Long

... bisphosphonates improves bone density and decreases fracture risk.1,2,3,4,5 These drugs, especially the oldest one, alendronate, are used by large numbers of postmenopausal women, as well as smaller numbers of men with idiopathic, steroidinduced, hypogonadal, or other causes of osteoporosis. Combine ...
Guidelines for Management of Osteoporosis
Guidelines for Management of Osteoporosis

... Hormonal Factors - low BMD is associated with early menopause.1,23 This group of women should be considered at high risk for osteoporosis.3 Current use of oestrogen replacement therapy is associated with a higher BMD.1,24 Family History – evidence from systematic reviews show that a positive family ...
Journal Club - NYU Langone Medical Center
Journal Club - NYU Langone Medical Center

... Additional History •Past Medical History: • Hip Fracture in 2009 •Multiple compression fractures • Hypothyroidism • Ductal carcinoma in situ - estrogen and progesterone receptor positive, her-2 neu negative •Past Surgical History: • Left sided lumpectomy 2007 •Social History: • Denies tobacco, alco ...
METABOLIC BONE DISEASES
METABOLIC BONE DISEASES

... – QuanJtaJve  defect  in  bone  (not  qualitaJve)   – Northern  European  women   – Smokers   – Heavy  drinkers   – Phenitoin   – Low  calcium  and  low-­‐vitamin  D  diet   ...
Managing to Prevent Fracture_Goldman Birmingham
Managing to Prevent Fracture_Goldman Birmingham

... Treatment Decisions Postmenopausal women and men age 50 and older with osteopenia- who do not qualify for treatment based on other treatment indications • Have a fragility fracture or • T-score > -2.5 at the hip or spine ...
Bones2
Bones2

... currents that stimulate osteoblasts – Bone matrix is deposited faster than it is removed ...
Genetic and environmental determinants of osteoporosis
Genetic and environmental determinants of osteoporosis

... Lifestyle and anthropometric factors Lifestyle factors associated with low BMD and osteoporosis include smoking, alcohol intake, low calcium intake, vitamin D insufficiency, low phytoestrogen intake, estrogen deficiency, delayed menarche, low body weight, and physical ...
Web - BONE MINERAL DENSITY Testing and what the results mean
Web - BONE MINERAL DENSITY Testing and what the results mean

... A  T-­‐score  between  -­‐1  and  -­‐2.5  indicates  the  beginning  of  bone  loss  (osteopenia).   A  T-­‐score  below  -­‐2.5  indicates  osteoporosis.   Healthcare  providers  do  not  use  Z-­‐scores  to  diagnose  osteoporosis  in  post ...
CALCIUM-PLUS
CALCIUM-PLUS

... . Enhances calcium absorption in the bone, and stimulates bone formation (by activating osteoblasts). . Inhibits bone deterioration (by reducing osteoclasts). . May be helpful in decreasing cholesterol levels - lowering LDL levels, and increasing HDL levels. . Numerous studies of Ipriflavone indicat ...
Vitamin D
Vitamin D

... It doses not increase the risk of breast or endometrial cancer ...
Metabolic Bone Disease 2- Clinical Biochemical Features
Metabolic Bone Disease 2- Clinical Biochemical Features

... to control the proliferation and action of osteoclasts. They arise from pluripotential mesenchymal cells. Osteoclasts breakdown and reabsorb bone, dentine and calcified cartilage. They play an important role in the modelling of growing bone, and maintenance of shape. They are also activated by parat ...
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Osteoporosis



Osteoporosis is a disease where decreased bone strength increases the risk of a broken bone. It is the most common reason for a broken bone among people who are old. Bones that commonly break include the back bones, the bones of the forearm, and the hip. Until a broken bone occurs there are typically no symptoms. Bones may weaken to such a degree that a break may occur with minor stress or spontaneously. Chronic pain and a decreased ability to carry out normal activities may occur following a broken bone.Osteoporosis may be due to lower than normal peak bone mass and greater than normal bone loss. Bone loss increases after menopause due to lower levels of estrogen. Osteoporosis may also occur due to a number of diseases or treatments including alcoholism, anorexia, hyperthyroidism, surgical removal of the ovaries, and kidney disease. Certain medications increase the rate of bone loss including some antiseizure medications, chemotherapy, proton pump inhibitors, selective serotonin reuptake inhibitors and steroids. Not enough exercise and smoking are also risk factors. Osteoporosis is defined as a bone density of 2.5 standard deviations below that of a young adult. This is typically measured by dual-energy X-ray absorptiometry at the hip.Prevention of osteoporosis includes a proper diet during childhood and efforts to avoid medications that cause the condition. Efforts to prevent broken bones in those with osteoporosis include a good diet, exercise, and fall prevention. Lifestyle changes such as stopping smoking and not drinking alcohol may help. Medication of the bisphosphonate type are useful in those with previous broken bones due to osteoporosis. In those with osteoporosis but no previous broken bones they are less effective. A number of other medications may also be useful.Osteoporosis becomes more common with age. About 15% of white people in their 50s and 70% of those over 80 are affected. It is more common in women than men. In the developed world, depending on the method of diagnosis, 2% to 8% of males and 9% to 38% of females are affected. Rates of disease in the developing world are unclear. About 22 million women and 5.5 million men in the European Union had osteoporosis in 2010. In the United States in 2010 about eight million women and one to two million men had osteoporosis. White and Asian people are at greater risk. The word osteoporosis is from the Greek terms for ""porous bones"".
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