05-12-2009, 02:51 PM
A 60-year-old woman arrives at your office for a
routine physical examination. During the course of
her examination she asks you about osteoporosis.
She is concerned about her risk for osteoporosis, as
her mother suffered from multiple vertebral compression
fractures at the age of 60. Your patient
reports that she still smokes cigarettes (œalthough
I know they are bad for me) and has one alcoholic
beverage a week. She reports having had menopause
5 years ago and experiencing a deep venous thrombosis
approximately 20 years ago. She is proud of
the fact that she regularly exercises at the local fitness
center. She has been taking 1500 mg of calcium
with 800 IU of vitamin D every day. You suspect
that she is at risk for osteoporosis
routine physical examination. During the course of
her examination she asks you about osteoporosis.
She is concerned about her risk for osteoporosis, as
her mother suffered from multiple vertebral compression
fractures at the age of 60. Your patient
reports that she still smokes cigarettes (œalthough
I know they are bad for me) and has one alcoholic
beverage a week. She reports having had menopause
5 years ago and experiencing a deep venous thrombosis
approximately 20 years ago. She is proud of
the fact that she regularly exercises at the local fitness
center. She has been taking 1500 mg of calcium
with 800 IU of vitamin D every day. You suspect
that she is at risk for osteoporosis