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Topics:
Rheumatology
•
Osteoporosis
Would you use PTH analog in a patient with severe osteoporosis (T score below - 3.5) who has been found to have idiopathic hypercalciuria with normal labs (PTH, vit D, Ca)?
Related Questions
How would you approach a finding of osteoporosis (Z score -4.5) in a recently postpartum patient who had DEXA sent for long term low-dose glucocorticoid use?
How do you reduce the risk of contralateral fracture in a patient with atypical femur fracture from prolonged bisphosphonate use?
What is your approach to the management of isolated total hip osteoporosis in a post menopausal woman without fracture history and low FRAX risk (based on their femoral neck osteopenic t score)?
What is your approach to treating a young male with vascular EDS with Z score -3.3 in AP spine and previous fragility fracture in the distal radius?
When considering pharmacologic treatments recommended by the 2022 glucocorticoid induced osteoporosis guidelines, do you use NNT/NNH to select between each treatment option by risk categories (e.g., moderate, high, very high)?
How do you approach significant change in BMD in premenopausal patient on tamoxifen?
What is your approach to a patient on long-term denosumab who now requires multiple invasive dental procedures?
How do you approach management of patients who are wheelchair bound with a history of osteopenia or osteoporosis?
Would you use romosozumab in a patient with a cardiovascular event more than 2 years prior?
Do you delay spinal surgery (e.g. lumbar decompression for stenosis) in men or women with newly diagnosed osteoporosis and multiple thoracic compression fractures (not involving site of potential surgery) in order to initiate anabolic or anti-resorptive therapy to potentially improve surgical healing outcomes?