Osteoporosis, Bone and Mineral Metabolism



Services:

  • ○ Evaluation and management of osteoporosis
  • ○ Evaluation and management of osteomalacia
  • ○ Evaluation of hypercalcemic disorders including hyperparathyroidism
  • ○ Paget disease of bone
  • ○ Developmental disorders of bone

Osteoporosis related fractures carry significant morbidity, this can be prevented. A bone mineral density (DXA SCAN) and thorough evaluation is indication for following group of patients.

  • ○ Advanced age (All women 65 yrs of age or older, Men more than 70 yrs)
  • ○ Previous fracture
  • ○ Long term glucocorticoid therapy ≥ 3 month
  • ○ Low body weight < 127 lb or BMI < 20 kg/m2
  • ○ Family history of osteoporotic fracture
  • ○ Cigarette smoking
  • ○ Men and women age 50-70 yrs if risk factors present such as glucocorticoid use , rheumatoid arthritis m hypogonadism, malabsorption , early menopause, chronic liver disease, Inflammatory bowel disease, hyperparathyroidism etc.


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