Osteoporosis Clinical Cases

Akbar Soltani.MD.

Associate Professor of Medicine and Endocrinology

Tehran University of Medical Sciences

Shariati Hospital

Case 1:

55 year old woman
- Referral by gynecologist:
History
- Menopause for last 2 years
  - few symptoms evident
- No previous fragility fracture
- No height loss
- No family history of osteoporosis
- Non-smoker
- Regular exercise
- Calcium intake 600 mg/day

à Indication for bone density measurement ?

Routine Procedures Proposed in the Investigation of Osteoporosis:

Routine
- History and physical examination
- Blood cell count, sedimentation rate, serum calcium, albumin, creatinine, phosphate, alkaline phosphatase and liver transaminases
- Lateral radiograph of lumbar and thoracic spine
- Bone densitometry (DXA)
Other procedures
- X-Ray – vertebral fracture assessment
- Markers of bone turnover, when available