History of present illness: Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body. Past medical history Irritable bowel disease. Right foot stress fracture last year while stepping off a small bench. Family history Father dies of a heart attack at age 80. Mother has a history of Osteoporosis. Social History Patient smoked 2 packs a week from age 25-50. Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago. Sedentary life style Allergies None Medications Multivitamins Calcium 1200 mg/day Key Labs, images, or procedures performed in relation to current diagnosis. Bone Density: T score of -3.1 Estrogen levels: <30 pg/mL (decrease) Key Physical Examination findings: Mild hunchback appearance with an accompanying stooped posture. Image © Shutterstock, Inc. Please answer the following questions about this case study: 1. Provide the diagnosis * 2. Provide the pathophysiology for this diagnosis * 3. What is the Incidence and prevalence in United States for this diagnosis *
History of present illness: Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body. Past medical history Irritable bowel disease. Right foot stress fracture last year while stepping off a small bench. Family history Father dies of a heart attack at age 80. Mother has a history of Osteoporosis. Social History Patient smoked 2 packs a week from age 25-50. Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago. Sedentary life style Allergies None Medications Multivitamins Calcium 1200 mg/day Key Labs, images, or procedures performed in relation to current diagnosis. Bone Density: T score of -3.1 Estrogen levels: <30 pg/mL (decrease) Key Physical Examination findings: Mild hunchback appearance with an accompanying stooped posture. Image © Shutterstock, Inc. Please answer the following questions about this case study: 1. Provide the diagnosis * 2. Provide the pathophysiology for this diagnosis * 3. What is the Incidence and prevalence in United States for this diagnosis *
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter39: Phlebotomy
Section: Chapter Questions
Problem 39.2CS
Related questions
Question
History of present illness:
Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body.
Past medical history
Irritable bowel disease.
Right foot stress fracture last year while stepping off a small bench.
Family history
Father dies of a heart attack at age 80.
Mother has a history of Osteoporosis.
Social History
Patient smoked 2 packs a week from age 25-50.
Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago.
Sedentary life style
Allergies
None
Medications
Multivitamins
Calcium 1200 mg/day
Key Labs, images, or procedures performed in relation to current diagnosis.
Bone Density: T score of -3.1
Estrogen levels: <30 pg/mL (decrease)
Key Physical Examination findings:
Mild hunchback appearance with an accompanying stooped posture.
Image © Shutterstock, Inc.
Please answer the following questions about this case study:
1. Provide the diagnosis *
2. Provide the pathophysiology for this diagnosis *
3. What is the Incidence and prevalence in United States for this diagnosis *
4. What are the risk factors for this diagnosis *
5. Provide predominant age and sex *
6. Provide treatment *
7. Provide the prognosis for the diagnosis at hand *
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