Osteoporosis
/Today’s episode was recommended by @KatieSmithMD on Twitter. Thanks, Katie!
Did you know there was a Practice Bulletin about osteoporosis? We didn’t either, but ACOG PB 129 is excellent reading though! (ACOG membership required)
We don’t touch much in the podcast on “secondary osteoporosis,” that is osteoporosis due to other medical conditions. There are a number of things that can predispose women to this that you should also keep in mind, especially if the patient has a particularly low Z-score (score relative to others their age), or if you have a younger postmenopausal woman who experiences a fracture.
ACOG PB 129
There are also a number of medications that you can use to treat osteoporosis, reviewed extensively in PB 129. However, likely highest yield for your practice and for CREOGs are Calcium and Vitamin D requirements for women based on age:
ACOG PB 129
Finally, be familiar with the FRAX score, and when to initiate workup of osteoporosis in the postmenopausal patient. The flowchart below also comes from PB 129. Didn’t we say it makes for some excellent reading?
ACOG PB 129