PPT-Osteoporosis Screening in HIV

Robert D Harrington MD Osteoporosis Screening in HIV Some definitions Epidemiology Bone loss and HIV Pathogenesis From HIV From Antiretroviral Therapy Traditional Risk Factors Screening recommendations. Christina Marciniak, Joelle . Gabet. , . JungWha. Lee and Nicole . Wyoscki. The Rehabilitation Institute of Chicago and Northwestern University. AAPMR November 2014. No authors have any relevant disclosures. What . causes osteoporosis. ?. Loss . of calcium from the bones that leads to weakened . bones. Creation . of new bone doesn’t keep up with the removal of old bone. Osteoporosis Statistics. Estimated that 10 million women in the US have been diagnosed with osteoporosis. Shuktika. . Nandkekolyar. . MKSAP. A 72-year-old man is evaluated for a two-week history of low back pain. The patient has a history of alcoholism but stopped drinking alcohol 10 years ago. He also has stage 3 chronic kidney disease and a 50-pack-year smoking history. Current medications are hydrochlorothiazide, . 1Osteoporosis meansporus bone or is also known as a bone disease that is a mesh-like structure inside the bone that becomes damaged The bone structure may be thin if either too much bone tissue has b Department of Medicine. KGMU, . Lucknow. 30.07.14. OSTEOPOROSIS. A disease characterized . by low . bone . mass . (reduced bone density) and micro-architectural deterioration of . bone . tissue, leading . Mohammadreza. . bordbar. , md. Pediatric hematologist. Hematology research center. Shiraz university of medical sciences. Osteoporosis overview. overview. Prevalence: 10 million Americans with osteoporosis. low bone . density. . It . occurs when the rate of bone . resorption. (. osteoclast cells. ) exceeds the rate of bone formation (osteoblast cells) resulting in fragile . bone tissue . subsequent fractures.. Records a T-score, 0 being the mean average of healthy population. Osteopenia . is between -1 and -2.5 standard deviations from this mean. Osteoporosis (OP) less than -2.5. Fragility . fracture= Injury insufficient enough to break normal bone. (GIO). M. Shams, M.D.. Endocrine and Metabolism Research Center. Shiraz University of Medical Sciences. In The name of God. Glucocorticoid Induced . Osteoporosis . (GIO). Glucocorticoids (GC) . are important in the treatment of many inflammatory, allergic, immunologic. Atefeh. . Rezaeifar. . Endorinology. Flow . May 2020 . Epidemiology and pathophysiology. Osteoporosis is a silent disorder characterized by . reduced bone strength predisposing to increased fracture risk .. Elizabeth Kwenda. 1. , Lucy Jiang. 2. , Leticia Rodriguez. 2. , Juan Varela. 2. , . Claisha. Pruitt. 2. , Sarah Glover. 3. , Victoria Bird. 2. University of Florida College of Medicine, Department of Urology, . CABM FIBMS. OSTEOPOROSIS. Reduced bone density, which causes micro-architectural deterioration of bone tissue and leads to an increased risk of fracture (fragility fractures). Fragility Fractures. Defined as fractures result from falling from a standing height or less (occur spontaneously or following minimal trauma) . Hashemipour.s. MD . Endocrinologist . Qazvin university of medical science. Agenda . Definition. Potential Targets . Fracture. BMD. FRAX. Bone markers. Conclusion . What is treat to target strategy?. Case Study: Mary. 77 y/o F. Active, w/ routine WB and resistance exercise. No prescription mediation. Healthy weight, healthy diet. She does have a disorder of proprioception and subjectively notes poor balance..