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Old 06-01-2012
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Rheumatology/Orthopedics Compression Fracture and Some Lab Results!

A 72-year-old woman is evaluated for mid and low back pain. Her pain has been present for several months, but last week she experienced sharp and intense pain after picking up a basket of wet laundry. Her medical history is unremarkable, and she takes no medications. She does not smoke cigarettes and does not drink alcohol.

On physical examination, BMI is 18. She has tenderness over the middle and lower thoracic regions. Spine radiographs show compression fractures at T10, L1, and L2.

Calcium 9.8 mg/dL (2.45 mmol/L)
Phosphorus 3.9 mg/dL (1.26 mmol/L)
Alkaline phosphatase 88 U/L
Bone mineral density Spine T-score: -2.6
Total hip T-score: -1.9

Which of the following is the most likely diagnosis?

A Normal bone density

B Osteopenia

C Osteoporosis

D Secondary osteoporosis
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Old 06-01-2012
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Originally Posted by Novobiocin View Post
A 72-year-old woman is evaluated for mid and low back pain. Her pain has been present for several months, but last week she experienced sharp and intense pain after picking up a basket of wet laundry. Her medical history is unremarkable, and she takes no medications. She does not smoke cigarettes and does not drink alcohol.

On physical examination, BMI is 18. She has tenderness over the middle and lower thoracic regions. Spine radiographs show compression fractures at T10, L1, and L2.

Calcium 9.8 mg/dL (2.45 mmol/L)
Phosphorus 3.9 mg/dL (1.26 mmol/L)
Alkaline phosphatase 88 U/L
Bone mineral density Spine T-score: -2.6
Total hip T-score: -1.9

Which of the following is the most likely diagnosis?

A Normal bone density

B Osteopenia

C Osteoporosis

D Secondary osteoporosis
C.......
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