A DXA Primer for the Practicing Clinician: A Case-Based by Angelo A. Licata

By Angelo A. Licata

Despite public conception, osteoporosis continues to be a frequent, devastating disorder, and a truly severe and dear public healthiness danger. Early detection and therapy has to be a concern for fundamental health and wellbeing care prone. Dual-energy X-ray absorptiometry (DXA) is the valuable x-ray expertise used to diagnose osteoporosis in its early, asymptomatic phases, to evaluate remedy efficacy, and to lead remedy judgements. It continues to be the most beneficial today. A DXA Primer for the training Clinician: A Case-Based guide for figuring out and reading Bone Densitometry is built round genuine circumstances of sufferers’ DXA measurements. The content material is derived from shows given by way of the authors at a countrywide society education direction and exemplifies not just the full physique of schooling supplied via those lectures however the complete variety of formerly undiscussed nuances in addition. This sensible, easy-to-read identify offers the daily difficulties of DXA utilization that new clients may possibly come upon and that education classes shouldn't have time to supply intimately. The critical concentration of the publication is the presentation of what's general and what's difficult within the use of DXA, depicting a number of situations with actual case histories of sufferers, their corresponding DXA photographs and the knowledge that designate the issues. detailed in process and presentation, this case-based handbook could be of titanic price to all practitioners -- and scholars – drawn to delivering optimum prognosis and remedy of osteoporosis.

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Additional info for A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry

Sample text

An example of this tool is seen in Fig. 2. 18 Fig. 2 Osteoporosis and fracture risk questionnaire 3 What Happens After I Order a DXA? The Pre-DXA Questionnaire Fig. 2 (continued) 19 20 3 What Happens After I Order a DXA? Arrival at the Imaging Center and DXA Suite The DXA equipment (Fig. 3) can be a bit intimidating to the lay person, but the truth of the matter is that it uses very low levels of radiation and acquiring the DXA images requires no image enhancement medications such as oral or intravenous contrast agents.

Her undermineralized bone, known as bariatric osteomalacia, was treated with high-dose calcium and vitamin D3 supplementation. Her lab indices and painful bones improved, and the DXA 1 year later noted a 30 % improvement in bone mineral density. Such improvement is rare in treatment of primary osteoporosis but is seen frequently when remineralization of nutritionally depleted bone occurs. Summary Osteoporosis is a disease causing a high risk for fractures from low intensity impact or loading forces, known as fragility fractures.

B Bone Density Report Name: Patient ID: Age: 83 Sex: Female Ethnicity: White Date of Birth: Indication: The Patient is post-menopausal. Referring Physician: Study: Bone densitometry was performed. 5). Previous Exams: Region AP Spine() Total Hip(Left) Exam Date 04/01/2010 01/17/2008 04/01/2010 01/17/2008 Age 83 81 83 81 BMD BMD Change BMD change (g/cm2) T-Score Vs. Baseline Vs. 0 *Indicates significant change Medical History: Menopause Age 50 Interpretation: The numbers given above indicate osteoporosis of the spine and osteopenia of the hip.

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