CASE STUDY

Case Study

Case Study

Case Scenario

Norma is a 69 yr old Caucasian female patient, petite and slender with a height of 52" and a weight of 104 lbs. Norma has been in excellent health throughout her life. She denies taking any medications at present. Her family history includes the death of her mother age 75 to pneumonia, and in further questioning she says that "Mom got pneumonia while she was in the nursing home after she fell and broke her hip." The results of Norma's bone densitometry reveal that she has a T score of -3.1 at the lumbar spine and a -2.7 at the right hip. After diagnosing Norma with osteoporosis, you write a prescription for alendronate. Norma looks at the prescription and says, "This isn't the drug that rots holes in your jaw, is it? If it is, I'm not going to take it.”

Discussion on the case

It is regular for all women to mislay hard part density each year after age 40. Sometimes if a woman is on estrogen replacement, the density does not depart down and can even get higher slightly. Since estrogen is one of the best treatments to stop hard part forfeit and you are still suffer forfeit hard part in spite of that therapy, this is a sombre problem. You even commenced it straight away after ovary deletion so there ought be a genetic leaning to or other risk element that is toiling atop and past the optimistic effect of estrogen. I presume when you declare hormone implants, you are citing to estrogen only and you did not mention taking any other medications. Therefore let us view at the assorted elements changing source and treatment.( Cauley, 1995)

Normal Bone Loss

After age 40 in women, hard part forfeit carries on in a tiny allotment on a standard basis. After menopause, hard part forfeit drives too fast up to about 1-2% of hard part each year in the period of 10 years after menopause and then reduces tempo down to some extent in the 70's and 80's. This regular hard part forfeit has commanded to norms for hard part density at each year of age. When you have a hard part densitometry study, the healer evaluates where you are in family member to other women your age. If you are atop the midpoint (or median), there is commonly less worry that you will arrive at the spontaneous fracture stage until very late in life and perhaps never. If you are in the worse stages of hard part density for your age (below one T-score or in the worse 15-20% of all women at that age), then you are resolved as having osteoporosis. This designation means that your hard part density may arrive at the spontaneous fracture stage at an early age, perhaps even in the 60's.( Dawson, 1997)

After menopause, if a woman takes hormonal replacement, there can often be a tiny advance in hard part density of about ...