Search results for "Fracture risk"
MKSAP Quiz: Evaluation for primary hyperparathyroidism
A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017
Annual meeting coverage highlights physical, mental conditions
ACP's annual meeting offered a large variety of learning and networking opportunities.
https://immattersacp.org/archives/2013/06/editors.htm
1 Jun 2013
Osteoporosis treatment often not started after hip fracture in elderly patients, study finds
The study found a continuous decline in starting osteoporosis treatment after hip fracture from 2004 to 2015, as well as a clinically meaningful reduction in rate of subsequent nonvertebral fracture in patients who did begin treatment versus those who did not.
https://immattersacp.org/weekly/archives/2018/07/24/4.htm
24 Jul 2018
Benefits, harms of osteoporosis medications unclear for patients with CKD
Among several gaps in medical knowledge, there was conflicting or insufficient evidence of the effectiveness of bisphosphonates on fractures and safety in transplant recipients and patients with chronic kidney disease.
https://immattersacp.org/weekly/archives/2017/04/11/4.htm
11 Apr 2017
Letters to the Editor
Readers submit their thoughts on bone mineral density testing and a better title for “internal medicine.”.
https://immattersacp.org/archives/2012/03/letters.htm
1 Mar 2012
MKSAP Quiz: Severe back pain following a minor fall
A 63-year-old man is evaluated for severe mid-upper back pain following a minor fall 1 day ago. He also notes progressive fatigue of 6 months' duration and a 6.8-kg (15-lb) weight loss. Following a physical exam, cardiopulmonary examination, and radiographs, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/10/03/3.htm
3 Oct 2017
Rosiglitazone controversy has internists scratching their heads
E. Victor Adlin, FACP, an endocrinologist at Temple University School of Medicine, discusses how the rosiglitazone drama has affected internists' prescribing habits.
https://immattersacp.org/archives/2008/03/special.htm
1 Mar 2008
ACP strongly recommends generic bisphosphonates, denosumab to prevent fractures in women with osteoporosis
The guideline focuses on the comparative benefits and risks of short- and long-term drug treatments for low bone density or osteoporosis, including prescriptions, calcium, vitamin D, and estrogen.
https://immattersacp.org/weekly/archives/2017/05/09/1.htm
9 May 2017
MKSAP Quiz: maintaining bone health
A 54-year-old woman comes to the office for advice regarding maintaining bone health. She has no history of fracture. The patient recently had a lumpectomy and radiation therapy to treat breast cancer, is currently taking tamoxifen, and will begin taking an aromatase inhibitor in 2 months. She underwent menopause at age 52 years and has persistent hot flushes. Her risk factors for osteoporosis include a slim body habitus and a mother who had a hip fracture at age 67 years. Following a physical exam, lab results and a dual-energy x-ray absorptiometry scan, what pharmacologic agents can be started in this patient?
https://immattersacp.org/weekly/archives/2015/03/10/3.htm
10 Mar 2015
Guidance issued for long-term bisphosphonate use
The authors noted that the risk of atypical femoral fractures is low, with an incidence of up to 50 per 100,000 person-years during the first 5 years of bisphosphonate use, resulting in a clear positive benefit/risk ratio within this time frame.
https://immattersacp.org/weekly/archives/2016/01/26/1.htm
26 Jan 2016