Rheumatology

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

By Angelo A. Licata

Despite public conception, osteoporosis continues to be a frequent, devastating ailment, and a truly severe and dear public overall healthiness danger. Early detection and therapy has to be a concern for fundamental future health care prone. Dual-energy X-ray absorptiometry (DXA) is the imperative x-ray know-how used to diagnose osteoporosis in its early, asymptomatic phases, to evaluate therapy efficacy, and to lead therapy judgements. It is still the premier today. A DXA Primer for the practising Clinician: A Case-Based guide for figuring out and examining Bone Densitometry is built round genuine circumstances of sufferers’ DXA measurements. The content material is derived from displays given via the authors at a countrywide society education direction and exemplifies not just the total physique of schooling supplied via those lectures however the complete diversity of formerly undiscussed nuances to boot. This useful, easy-to-read name presents the everyday difficulties of DXA utilization that new clients could come across and that education classes should not have time to supply intimately. The important concentration of the ebook is the presentation of what's general and what's complicated within the use of DXA, depicting a number of situations with actual case histories of sufferers, their corresponding DXA photos and the information that specify the issues. precise in procedure and presentation, this case-based handbook can be of huge worth to all practitioners -- and scholars – drawn to delivering optimum prognosis and therapy of osteoporosis.

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

Example text

FRAX® remains a tool in evolution and has its limitations. Databases used in the development of the tool are updated as more precise information becomes available to refine the tool. Consequently, the intervention 38 4 What Is FRAX®? threshold may vary, and as a point value without defined confidence intervals, it grants the practitioner leeway to employ clinical judgment. Let’s take a look at some examples of its use. , has her annual health evaluation. She is sent for a bone density test because she tells the family doctor her 90-year-old mother recently had a spine fracture.

For the practitioner, these characteristics can be determined from a patient’s age and pertinent historical information. A. E. 1007/978-1-4419-1375-3_4, © Springer Science+Business Media New York 2014 35 36 4 What Is FRAX®? The dilemma which this poses for the practitioner is that patients who are younger, of either gender, or are pre- or perimenopausal that have T-scores that could indicate osteoporosis and risk for fragility fracture but by virtue of their clinical characteristics indeed may not have this problem.

You cannot take this test if you are pregnant. Eat a normal diet on the day of the test. Take your medications as you normally would. DO NOT take calcium supplements (such as Tums) for 24 hours before the test. 5. The test should be performed prior to oral, rectal, or IV contrast studies or at least 7 days after any of these studies. For the test, you may be asked to change into a hospital gown. You will lie on your back, on a padded table, in a comfortable position for a few minutes. Once the test is completed, you may resume your usual activities.

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