General practice · Explanation & counselling

Osteoporosis after fracture

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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S V T T

2 min reading · 10 min station · reminders at 2 min

Instructions

You are a medical student on placement in general practice. Katerina Georgiou, 68, is here for her bone density result after breaking her wrist in a fall three weeks ago.

  1. Take a focused history

  2. Explain the result and your management plan to the patient

DEXA bone density scan

DEXA bone density scan
ItemValueReference range
Lumbar spine T-score-3.3>-1.0 normal; -1.0 to -2.5 osteopenia; <-2.5 osteoporosis
Left femoral neck T-score-2.3>-1.0 normal; -1.0 to -2.5 osteopenia; <-2.5 osteoporosis
Lumbar spine page of a dual-energy X-ray absorptiometry report
Jmarchn, Wikimedia Commons - CC BY-SA 3.0

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