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Meet Soon-ja Aged 78 years Swipe up to learn more about this hypothetical patient...
Hypertension – treated with ACE-inhibitor Lactose intolerant Anxiety and mild agoraphobia – treated with diazepam Mild cognitive decline noticed by children *Hypothetical patient
Lifelong smoker 30 pack-year history Weight 67 kg, height 164 cm Two vertebral crush fractures reported by radiologist on recent chest X-ray BMD screening test 1 year ago T-score –2.3 lumbar spine, –1.9 femoral neck Husband died 3 years ago, lives alone in a unit Regular visits from children and grandchildren *Hypothetical patient
Based on the information provided in her case outline, would you diagnose Soon-ja with osteoporosis?
Would you initiate treatment with antiresorptive medication?
Soon-ja's History Recap
Would you prescribe calcium supplements?
Would you order a DEXA scan to assess BMD?
Would you assess falls risk?
Would you assess her absolute fracture risk using the FRAX risk calculator or the Garvan Fracture Risk Calculator?