By Angelo A. Licata
Despite public conception, osteoporosis continues to be a common, devastating ailment, and a really severe and dear public wellbeing and fitness probability. Early detection and therapy needs to be a concern for fundamental well-being care companies. Dual-energy X-ray absorptiometry (DXA) is the crucial x-ray know-how used to diagnose osteoporosis in its early, asymptomatic phases, to evaluate therapy efficacy, and to steer remedy judgements. It continues to be the surest today. A DXA Primer for the working towards Clinician: A Case-Based guide for knowing and analyzing Bone Densitometry is constructed 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 total physique of schooling supplied via those lectures however the complete variety of formerly undiscussed nuances in addition. This sensible, easy-to-read identify presents the each day difficulties of DXA utilization that new clients may perhaps stumble upon and that education classes do not need time to supply intimately. The imperative concentration of the ebook is the presentation of what's common and what's challenging within the use of DXA, depicting quite a few eventualities with genuine case histories of sufferers, their corresponding DXA photographs and the information that designate the issues. distinct in method and presentation, this case-based guide could be of great worth to all practitioners -- and scholars – attracted to supplying optimum prognosis and therapy of osteoporosis.
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Additional resources for A DXA Primer for the Practicing Clinician: A Case-Based Manual for Understanding and Interpreting Bone Densitometry
The Pre-DXA Questionnaire Fig. 2 (continued) 19 20 3 What Happens After I Order a DXA? Arrival at the Imaging Center and DXA Suite The DXA equipment (Fig. 3) can be a bit intimidating to the lay person, but the truth of the matter is that it uses very low levels of radiation and acquiring the DXA images requires no image enhancement medications such as oral or intravenous contrast agents. Fig. 3 The DXA scanner Arrival at the Imaging Center and DXA Suite 21 The patient will be greeted by the DXA technologist who will measure the patient’s height and weight, review the information provided on the DXA questionnaire, and enter the patient’s information into the DXA computer (Fig.
Preventing fractures and loss of quality of life is ultimately what DXA and FRAX® are designed to do – but it remains up to the practicing clinician to ensure that these tools are optimally employed in his/her clinical practice. Summary FRAX® is a tool to objectify key clinical risk factors in a patient’s history and serves to assist the clinician with the decision-making process. This tool continues to undergo further refinement as new data comes to light but will undoubtedly serve as a useful clinical tool for years to come.
0. Her doctor counsels her on getting adequate calcium and vitamin D, to remain active and to continue to exercise routinely, concluding that her T-score was not low enough to indicate the need for a bone medication. 7 % and other fracture risk 18 %. Although the clinician felt the data were not severe enough to warrant more than the usual non-pharmacological approach, the FRAX® analysis exceeded the intervention threshold for her 10-year risk of hip fracture and should give the clinician reason to reconsider the treatment plan.