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Table Of Contents

1. OSTEOPOROSIS: IMPACT AND OVERVIEW
Executive Summary
Synopsis of Major Recommendations to the Clinician
Scope of the Problem
Medical Impact
Economic Toll
2. BASIC PATHOPHYSIOLOGY
3. APPROACH TO THE DIAGNOSIS AND MANAGEMENT OF OSTEOPOROSIS
Risk Assessment
Clinical Evaluation
Diagnosis
Bone Mineral Density Measurement and Classification
Who Should be Tested?
Additional Skeletal Health Assessment Techniques
Use of WHO Fracture Risk Algorithm (FRAX®) in the U.S
4. UNIVERSAL RECOMMENDATIONS FOR ALL PATIENTS
Adequate Intake of Calcium and Vitamin D
Regular Weight-Bearing and Muscle-Strengthening Exercise
Fall Prevention
Cessation of Tobacco Use and Avoidance of Excessive Alcohol Intake
5. PHARMACOLOGIC THERAPY
Who Should Be Considered for Treatment?
U.S. FDA-Approved Drugs for Osteoporosis
Bisphosphonates
Calcitonin
Estrogen/Hormone Therapy (ET/HT)
Estrogen Agonist/Antagonist (formerly known as SERMs): Raloxifene
Parathyroid Hormone: Teriparatide
Duration of Treatment
Monitoring Effectiveness of Treatment
6. PHYSICAL MEDICINE AND REHABILITATION
CONCLUSIONS AND REMAINING QUESTIONS
GLOSSARY
KEY REFERENCES
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Published by samanta1987rocky
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Published by: samanta1987rocky on Jul 17, 2013
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