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Re: Gyn: Osteopenia pre-menopausally From: Terrence.Jones@kp.org Tue Oct 18 14:19:47 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: OBGYN.net Newsletter: "OBGYN.net Update Newsletter - October 18, 2005" Previous message: art fougner, md: "Re: Who Will Deliver Our Grandchildren" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: Osteopenia pre-menopausally" Next in thread: art fougner, md: "Re: Gyn: Osteopenia pre-menopausally" Reply: art fougner, md: "Re: Gyn: Osteopenia pre-menopausally" This is a multipart message in MIME format. --=_alternative 006758458825709E_ Content-Type: text/plain; charset="us-ascii" Yes - Internist or Endocrinologist - need to exclude non-hypoestrogenic causes of bone loss (also applies to postmenopausal Patients with Z scores under -2.0). /tj garrys@mindspring.com (Garry E. Siegel, M.D.) Sent by: ob-gyn-l@obgyn.net 10/17/2005 02:26 PM Please respond to ob-gyn-l To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> cc: Subject: Gyn: Osteopenia pre-menopausally 37 YO who is 6 months PP had bone density screening somewhere on her wrist, and was told it was low. She then had a full DEXA showing osteopenia (my partner attended to this). He recommended a biphosphonate. She is bottle feeding and never breast fed. She then called for my opinion. My opinion is that I'm not so sure about pre-menopausal DEXAs, and she needs an evaluation (see the internist/endocrinologist) first. Opinions welcome. Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA --=_alternative 006758458825709E_ Content-Type: text/html; charset="us-ascii" <br><font size=2 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; Yes - Internist or Endocrinologist - need to exclude non-hypoestrogenic causes of bone loss (also applies to postmenopausal Patients with <b>Z scores</b> under -2.0). &nbsp;/tj</font> <br> <table width0%> <tr valign=top> <td> <td><font size=1 face="sans-serif"><b>garrys@mindspring.com (Garry E. Siegel, M.D.)</b></font> <br><font size=1 face="sans-serif">Sent by: ob-gyn-l@obgyn.net</font> <p><font size=1 face="sans-serif">10/17/2005 02:26 PM</font> <br><font size=1 face="sans-serif">Please respond to ob-gyn-l</font> <br> <td><font size=1 face="Arial">&nbsp; &nbsp; &nbsp; &nbsp; </font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; To: &nbsp; &nbsp; &nbsp; &nbsp;Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; cc: &nbsp; &nbsp; &nbsp; &nbsp;</font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; Subject: &nbsp; &nbsp; &nbsp; &nbsp;Gyn: &nbsp;Osteopenia pre-menopausally</font></table> <br> <br><font size=2 face="Courier New">37 YO who is 6 months PP had bone density screening somewhere on her<br> wrist, and was told it was low. &nbsp;She then had a full DEXA showing<br> osteopenia (my partner attended to this). &nbsp;He recommended a<br> biphosphonate. &nbsp;She is bottle feeding and never breast fed.<br> <br> She then called for my opinion.<br> <br> My opinion is that I'm not so sure about pre-menopausal DEXAs, and she<br> needs an evaluation (see the internist/endocrinologist) first.<br> <br> Opinions welcome.<br> <br> Garry<br> <br> --<br> Garry E. Siegel, M.D.<br> Private Practice<br> Roswell, GA<br> </font> <br> Next message: OBGYN.net Newsletter: "OBGYN.net Update Newsletter - October 18, 2005" Previous message: art fougner, md: "Re: Who Will Deliver Our Grandchildren" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: Osteopenia pre-menopausally" Next in thread: art fougner, md: "Re: Gyn: Osteopenia pre-menopausally" Reply: art fougner, md: "Re: Gyn: Osteopenia pre-menopausally"

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