By Angelo A. Licata
Despite public notion, osteoporosis continues to be a common, devastating disorder, and a truly critical and dear public healthiness danger. Early detection and therapy needs to be a concern for basic future health care services. Dual-energy X-ray absorptiometry (DXA) is the relevant 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 most effective today. A DXA Primer for the working towards Clinician: A Case-Based handbook for knowing and studying Bone Densitometry is constructed round genuine circumstances of sufferers’ DXA measurements. The content material is derived from shows given by way of the authors at a countrywide society education path and exemplifies not just the full physique of schooling supplied via those lectures however the complete diversity of formerly undiscussed nuances in addition. This functional, easy-to-read name presents the everyday difficulties of DXA utilization that new clients could stumble upon and that education classes shouldn't have time to supply intimately. The significant concentration of the e-book is the presentation of what's general and what's problematical within the use of DXA, depicting numerous eventualities with actual case histories of sufferers, their corresponding DXA photographs and the knowledge that specify the issues. particular in method and presentation, this case-based handbook might be of massive worth to all practitioners -- and scholars – drawn to delivering optimum analysis 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
This chapter is dedicated to exactly that, provides an example of simple pre-DXA instructions, a pre-DXA questionnaire, and a stepby-step look into the process of obtaining bone mineral density measurements (Fig. 1). A. E. 1007/978-1-4419-1375-3_3, © Springer Science+Business Media New York 2014 15 16 3 What Happens After I Order a DXA? The Prescription Fig. 1 A typical DXA order Pre-DXA Instructions Pre-DXA instructions do not have to be complex but need to include essential facts along with a comment or two concerning calcium supplements and contrast agents – both of which, as illustrated elsewhere in this text, can interfere with accurate data acquisition.
For the test, you may be asked to change into a hospital gown. You will lie on your back, on a padded table, in a comfortable position for a few minutes. Once the test is completed, you may resume your usual activities. The Pre-DXA Questionnaire The pre-DXA questionnaire is typically a one- or two-page form that gathers patient demographics and asks pertinent questions regarding family history, personal medical history, current diagnoses and medications, menopausal status, and diet and lifestyle choices.
424 g/cm2. 2 standard deviations below young adult mean reference values. Current relative risk of hip fracture, (given the above bone density value) is increased 50 times as compared to young adult normal risk (based on older, postmenopausal white female data). Fig. 1 Bone mineral density report This report provides data but fails to provide useful information back to the referring clinician. T-scores are implied but not clearly stated. The discrepancy between the scores in the hip and the spine makes one question whether the interpreter looked at the images at all or merely dictated the computer-generated values.