OSTEOPOROSIS-SCREENING

SUMMARY

1. The National Osteoporosis Foundation Guidelines of 2010 recommend screening all women aged 65 or older and all men 70 or older with DXA scans and selectively screening women and men > 50 years if they have any OP risk factors.

SCREEN THE FOLLOWING:
2. GI diseases (UC, Crohn's, celiac, gastric bypass, malabsorption)

3. Endocrine disorders (hyperparathyroidism, Cushing syndrome, hypogonadism, hyperthyroidism)

4. Medications (glucocorticoids, thyroxine over-replacement, lithium, phenobarbital, phenytoin, cyclosporine)

5. RA, SLE, anorexia

6. Prolonged bed rest or WC-bound

7. Multiple vertebral compression fractures noted on x-ray (2/3 of vertebral fractures are painless)

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].