Is this patient at high risk or low risk

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Reference no: EM133808697

Case

A 48-year-old Asian American woman is concerned about thin bones. Her mother was diagnosed with osteoporosis at the age of 50 and fell at the age of 68 and fractured her hip and spent months in Rehab before being able to return home. The patient has no history of fractures.
The patient presents to the office to have her bones checked to see if she has "thin bones"

Patient has no history of previous fractures: Patient states she went through Menopause at the age of 43-44 with no major problems. Patient was diagnosed with hypothyroid at at age 40.

Patient does not drink. Smokes 1ppd for 20 yrs. Husband has been out of work for 9 months due to downsizing at his job. Pt works as an administrative assistant for a publisher but does not have health insurance at this time.

Pt had a melanoma removed from her left cheek in 2018; No hospitalizations except for childbirth x2

Family history: Paternal Grandmother died at age 78 due to heart disease. Paternal Grandfather died at age 83 due to heart attack. Maternal Grandmother died at age 82 cause unknown; Maternal Grandfather died from farm accident at age of 56. Mother is 75 alive with Osteoporosis diagnosed at age 50 and HTN diagnosed at age 63. Father is 77 alive with HTN diagnosed at age
45. Pt has two daughters alive and well with no medical problems. Objective Info
Height 5'2' Wt 105 lbs; BMI 19.2; 128/78; HR-72/min
HEENT: Normocephalic, no lumps/lesions
Neck: supple without adenopathy , no thyromegaly.
Lungs: Eupneic, CTA
CV: RRR, no murmurs, rubs or extra sounds noted; 2+ peripheral pulses, no edema noted
Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge
Abd: soft, +BS, no tenderness
MS: Full ROM in spine and shoulders. No tenderness, no spasms
T-Score is -1.2

Question 1: What other information do you need

Question 2: What other diagnostic tests would be appropriate for this pt? Get Help Now!

Question 3: Is this patient at high risk or low risk? What are her risk factors

Question 4: What other screenings are appropriate for this patient?

Question 5: What is the difference between a Z score and a T score?

Question 6: What would you include in patient education to prevent further loss of bone? Be specific.

Reference no: EM133808697

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