Osteoporosis
Athanasios Tsiongas
Chamberlain College of Nursing
NR283: Pathophysiology
Fall Session B, 2015 Osteoporosis
Introduction of Disease Osteoporosis is metabolic bone disorders where bone resorption is increased and bone formation decreases, these bones affected lose calcium where we know strengthens bones, to cause them to become much more brittle and easier to break. This disease happens to postmenopausal women more often than not because of the loss of their hormones (Capolla, 2016).
Etiology
Osteoporosis is most commonly caused by aging according to experts, but it can happen at any time in a person’s life. Most common risk factor for this disease is to be female postmenopausal. This reason being is because females lose
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To other signs of constant fractures and just breaking bones easier than usual. More signs include loss of height, but some symptoms may not even appear till later, or when you actually fracture a bone.
Complications
Complications associated with osteoporosis include pain and discomfort things can get really bad is if you fall and the bines being very weak can break a hip or worse break a vertebrae in the spine, the right break can cause a person to become paralyzed. These are very scary to think about breaking something by just a simple fall.
Diagnostics
Osteoporosis can be diagnosed by a x-ray, DEXA scan, BMD test. An x-ray can show us if there is a crack or fracture in the bine itself. The DEXA scan is the most common way for doctors to diagnose. This test it measure peoples spines, hips, and total bone density. It is pretty neat thing to have when trying to diagnose this disease. Lastly we have a BMD test, which measures all the bone minerals in the bone. Showing us how much calcium and phosphates are in the bone and if it is normal and if it is abnormal, normal bone density should be Between -1 and -2.5 and if it gets below that you are diagnosed with osteoporosis (Sheu,
10. What parts of the skeleton are most vulnerable to the ravages of osteoporosis? Since the elderly are at risk of getting osteoporosis especially in older women. The most common are areas of the body to get this disease would be the spine, ribs, wrist, hip and in the arm. Which in this case was the reason Margaret obtained her hip fracture.
Osteopenia refers to having bone mineral density that is below normal levels but not low enough to be classified as osteoporosis. Bone Mineral Density (BMD) needs to be tested in woman over 60 to check for the early onset of osteoporosis. A BMD test is used to take these measurements and the most accurate test is called a DEXA procedure. According the WebMD Osteoporosis Health Center, Dual-energy X-ray absorptiometry (DEXA) tests measure the bones mineral density with X-ray beams
But after the early stage, your bones may become weak. These signs include: back pain, shortness of breath, shrinkage in height and bad, irregular posture. Many people don’t start showing signs until they have broken a bone, such as a wrist bone or a hip bone. There are two different types of Osteoporosis. There is Juvenile Osteoporosis (which is very rare), it occurs in children that is due to medication or medical conditions. Premenopausal Osteoporosis which happens to older women before menopause. There are three different ways to check for Osteoporosis. The first one is a painless bone density scan called a dual energy X-ray absorptiometry (DXA) (Stang, 2016). The second one is a digital x-ray radiogrammetry (DXR), it is like the DXA but uses less technology. And the last one is ultrasounds. Ultrasound scans are also used to screen for osteoporosis but it is not able to get a good reading like the others, so this method isn’t used as often. If you break a bone the doctor will try these types of x-ray to see if it was caused by
If the osteosarcoma progresses, the bone may weaken to such an extent that a fracture may occur, however the extremity of a fracture will only occur in the later stages of the osteosarcoma.
Osteoporosis is a condition, in which bones are weak from deterioration, loss of bone mass, and quality bone strength. Osteoporosis usually triggers postmenopausal women (women who have not had their period for a whole year), or older men and women. Some risks both older men and women endure when experiencing osteoporosis are decreased calcium and bone fractures. These symptoms or effects can all be caused by weight loss, smoking, age, ethnicity, genetics, medications, bone structure, and certain diseases that can later on contribute to osteoporosis, such as rheumatoid arthritis. Osteoporosis may be prevented by going to drug therapy to stop alcoholism and smoking, a sufficient amount of calcium intake, and exercising such as jogging, walking, and aerobics.
Osteoporosis is a disease in which the bones become so weak and brittle that even a cough can cause enough stress on the bone that it will cause the bone to facture. The most commonly broken bones are the hip, wrist, and the spine. Although it affects men and women of all races, post-menopausal Caucasian and Asian women are more commonly affected than those of other ethnicities and sexes. In fact, thirty percent of all post-menopausal women in the US and Europe will be diagnosed with Osteoporosis and at least 40 percent of those will suffer from a fracture in their lifetime.
...a casein-free diet was 19.9ng⁄mL, for participants not on a casein-free diet it was 19.6ng⁄mL, and for controls it was 17ng⁄mL. There were no differences in the measurements of 25 (OH) D in all groups. About sixty-one percent, fifty-four children, had concentrations of less than 20ng⁄mL. This is the minimum concentration recommended by the American Academy of Pediatrics to ensure good bone health. These children could be at risk for problems associated with vitamin D deficiency. This includes concerns with bone health and calcium and phosphorus metabolism. Children with autism spectrum disorder are limited to what activities they can do and usually are not exposed to much sunlight causing them to be at a greater risk. Understanding the needs and taking preventive measures for children with autism will help reduce the risk of health problems as they enter adulthood.
Bone density generally refers to the strength of a bone and its ability to bear weight. Doing a bone density scan therefore measures a bone’s strength, its ability to bear weight, and its risk of fracture. The most common and accurate way to measure bone density is to use a Dual-Energy X-ray Absorptiometry (DEXA) scan. (Medlineplus, 2014). Before the use of DEXA was introduced, osteoporosis could be determined only when a patient broke a bone, and by then, the bone may have become very weak. With a bone density scan however, it can be determined if a patient is at risk of bone fracture, or at risk of osteoporosis. The bone density scan is done with Dual Energy X-ray Absorptiometry (DEXA) equipment. The DEXA technology became available for clinical use in 1987, but before then, there were the Single Photon Absorptiometry (SPA), and Dual Photon Absorptiometry (DPA), both of which are no longer in use. (Dasher, Newton, & Lenchik, 2010). The bone density scan is usually done on the following patients:
The big picture. Where the two schools of medicine differ is in philosophy. Doctors of osteopathy "treat people, not just symptoms," says Karen Nichols, dean of the Chicago College of Osteopathic Medicine. "The course list looks exactly the same, but the M.D.'s focus is on discrete organs. The osteopathic focus is that all of those pieces are interrelated. You can't affect one with out affecting another." That means paying more than simple lip service to the idea of the "whole" patient: It means that diagnosis and treatment rely on an examination of a person's environment and family and general situation as well as his or her body. Not surprisingly, about 65 percent of the nation's 52,000 licensed osteopaths (by comparison, the country boasts at least 900,000 M.D.'s) are primary-care physicians. The American Association of Colleges of Osteopathic Medicine has a description of osteopathic training, as well as short profiles of 20 schools, at www.aacom.org. The D.O. programs and their contact information are listed in the directory section of this book.
Fibular fractures may be complete or incomplete fractures. Fibula fractures may occur anywhere along the bone. The fracture we are trying to fixate is a complete fracture. Fractures occur when a force is placed on the bone that is greater than it can withstand, and when a fracture does occur in the fibula, it’s usually at the same time as the tibia. When only the fibula fractures, it is usually because of a direct blow to the side of the leg or an extreme sideways bend at the ankle or knee. Some other common causes of fibular fracture include, direct hit from doing contact sports such as hockey or lacrosse, stress fracture; weakening of the bone from repeated stress, or indirect injury, caused by twisting, turning quickly, or violent muscle contraction. Tripping, falling or impact during an accident are also major causes of fibular
Women are at a higher threat of developing osteoporosis when their ovaries discontinue producing estrogen. This is due to the fact that estrogen supports maintaining proper calcium levels in bones. “A collapse of bony vertebrae of the spinal column results in loss of height and stooped posture. Hip fractures are a common occurrence.”
Other metabolic bone diseases are osteoporosis, gout, OSTEOARTHRITIS, and PAGET'S DISEASE. Nutritional Disorders Nutritional deficiencies that result in bone damage include RICKETS in children and osteomalacia in adults, caused by a lack of vitamin D. In children, calcium and phosphate are poorly distributed on bones during development, resulting especially in deformity of the legs and arms. In adults, bones of the spine, pelvis, and legs become demineralized and the bones weaken.
Osteoporosis comes from the latin word meaning “porous bone”. If you were to look closely at a bone you could see there are these small spaces on the bone which is good, now if you look at someone who suffers from osteoporosis you will see these spaces are much larger. As these spaces become larger it takes away from the strength and integrity of the bone making it grow weak and thin. Osteoporosis is most common in women over the age of 50 and gives them a higher risk of fractures and or breaks especially common in the hips. While we know osteoporosis comes from a number of things it can be broken down to age, the hormonal changes most commonly seen in menopause and a lower intake of Vitamin D and Calcium. Age is the unpreventable factor that doctors or you cannot change. Hormonal changes can be fixed with supplements or hormone therapy along with ones intake of Vitamin D and Calcium. Hormone therapy, estrogen alone or the combination of estrogen and progestin have been proven to prevent and aide in the treatment of osteoporosis in
When new bone is not being readily produced or the body is reabsorbing too much old bone causes osteoporosis. During this time bone remodeling is not occurring when the bone becomes damaged. Lack of bone remodeling causes the bone to continue to breakdown. This breakdown may cause stress and fractures.
Eventually, the bone gets weakened, which gets fractured even due to minor injury or fall. So, this type of fracture is called as “pathological fracture”; it's rare symptoms are unintended weight loss, a high temperature and sweating at night time. These rare symptoms are common in Ewing’s sarcoma.