By Angelo A. Licata
Despite public belief, osteoporosis continues to be a frequent, devastating ailment, and a truly severe and expensive public healthiness hazard. Early detection and therapy needs to be a concern for basic overall healthiness care providers. Dual-energy X-ray absorptiometry (DXA) is the valuable x-ray expertise used to diagnose osteoporosis in its early, asymptomatic levels, to evaluate therapy efficacy, and to lead remedy judgements. It is still the most desirable today. A DXA Primer for the practising Clinician: A Case-Based guide for figuring out and examining Bone Densitometry is built round actual instances of sufferers’ DXA measurements. The content material is derived from shows given by way of the authors at a countrywide society education direction and exemplifies not just the complete physique of schooling supplied via those lectures however the complete diversity of formerly undiscussed nuances besides. This functional, easy-to-read identify offers the daily difficulties of DXA utilization that new clients may well come across and that education classes shouldn't have time to supply intimately. The significant concentration of the booklet is the presentation of what's basic and what's troublesome within the use of DXA, depicting numerous situations with actual case histories of sufferers, their corresponding DXA pictures and the information that designate the problems. special in strategy and presentation, this case-based guide can be of massive price to all practitioners -- and scholars – drawn to delivering optimum prognosis and remedy of osteoporosis.
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Extra resources for A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry
Threshold may vary, and as a point value without defined confidence intervals, it grants the practitioner leeway to employ clinical judgment. Let’s take a look at some examples of its use. , has her annual health evaluation. She is sent for a bone density test because she tells the family doctor her 90-year-old mother recently had a spine fracture. The patient is otherwise very healthy, follows good health habits, exercises frequently, and has no menopausal symptoms. 45. Does she have a high risk for hip fracture?
4 Baseline DXA report case 3 However, this interpreter left the rest of the information, such as the T-scores and Z-scores for the referring physician to extract from the DXA printout, and failed to make any clinical recommendations or suggested time frame for follow-up imaging. And a key component of the patient’s medical history was ignored. The information gathered in the questionnaire such as family history and use of high-risk medications must be considered in addition to the T-scores when assessing fracture risk.
The technologist conducting the DXA will ask the patient to complete the form before proceeding with the test. The purpose of a pre-DXA questionnaire is to elicit essential facts about the patient’s medical history that may place them at risk for osteoporosis and fractures. This tool is then used by the interpreting clinician to further assess the patient’s risk for future fracture and provide appropriate recommendations back to the referring physician. An example of this tool is seen in Fig. 2.