Emily, a 64-year-old obese, caucasian female was brought to the hospital sufferi

Question

Emily, a 64-year-old obese, caucasian female was brought to the hospital suffering pain in her legs. She was 5'8" tall when she was 40 and now is 5'4" in height. An X ray revealed that she had a greenstick fracture of her right femur and left tibia.

You decide to test her bone density. Her bones are brittle and porous.

1) Form a differential diagnosis and explain your diagnosis. IN OTHER WORDS, based on ALL the information presented, what disease do you suspect? (4 pts)

2) What would you do to treat this patient? Explain how this treatment would be effective. (1pt)

Explanation / Answer

answer=

1] from above information i suspect the disease Osteoporosis

because the woman has a fracture & her bones are brittle & porous

osteoporosis means porous bone,is a disease in which the density & quality of bone are reduced as bones become more porous & fragile ,the risk of fracture is greatly increased .

The loss of bone occurs silently & progressively .it affects women of all ages ,most severly those over age 60 & predominantly who are thin,fair skin caucasian or Asian .

2 ] treatment of this patient = prevention is the better treatment .this would include an evaluation for use of estrogen supplement ,nutritional guidance with possible supplements ,maintaining a proper balance between activity & over activity.

once the diagnosis has been made ,treatment may include estrogen supplement ,nutritional supplements ,increase in weight -bearing activity,treatment of any underlying metabolic disease& nonsteroidal anti- inflammatory medications for pain control

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