Case Study 5.doc - Case Study 5 Womens Health Agents A 76-year-old Caucasian woman presents for an annual maintenance visit She is generally feeling

Case Study 5.doc - Case Study 5 Womens Health Agents A...

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Case Study 5 Women’s Health Agents A 76-year-old Caucasian woman presents for an annual maintenance visit. She is generally feeling well and has no specific complaints. She takes hydrochlorothiazide for hypertension. She went through menopause at age 48 and never took hormone replacement therapy. She is a former smoker having a 30 pack-year history and having quit 20 years ago. She occasionally has a glass of wine with dinner and walks three or four times a week for exercise. On examination her height is 1 inch less than it was 3 years ago. Her vital signs are normal. She has a prominent kyphoscoliosis of the spine. Her examination is otherwise is unremarkable. The physician orders a bone density test, which shows significant reduction of density in the spine and hips. The physician diagnoses her with osteoporosis and starts her on alendronate sodium (Fosamax), and calcium and Vitamin D supplements.
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