Osteoporosis Case Study_Vivi.docx - Upper Back Pain Case...

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Upper Back Pain Case Study Situation: Mary, a 72 year old woman, comes to your clinic for a complete physical exam. Her only complaint is 6/10 “upper back pain,” which started about 3 weeks ago as she was getting out of bed. She describes the pain as sharp and stabbing. Background: Mary hasn’t been to a doctor for 11 years, she says, “I don’t like those doctors.” She has smoked a pack a day for 17 years. She says, “I know I should quit smoking and start exercising, but I’m too tired. And anyway, I’m not fat.” She went through menopause at 47, and has never taken hormone replacement therapy. Assessment: Patient is A+OX4. Physical examination is normal, except moderate tenderness to palpation over the spinous process at T7. No mass, skin changes, or erythema are noted. Neurologic assessment is normal. Plan: 1. An X-Ray indicates a collapsed thoracic vertebra at T7 and bone density changes in the spine. What could this indicate?

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