Re: Gyn: Osteopenia pre-menopausally
From: art fougner, md (evsono@pipeline.com)
Tue Oct 18 20:15:26 2005
DDX of Osteopenia ...
http://www.rad.washington.edu/mskbook/osteopenia.html
Art
At Tue, 18 Oct 2005, Terrence.Jones@kp.org wrote:
>
>This is a multipart message in MIME format.
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> 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
>
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><br><font size=2 face="sans-serif"> 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). /tj</font>
><br>
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><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"> </font>
><br><font size=1 face="sans-serif"> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font>
><br><font size=1 face="sans-serif"> cc: </font>
><br><font size=1 face="sans-serif"> Subject: Gyn: 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. She then had a full DEXA showing<br>
>osteopenia (my partner attended to this). He recommended a<br>
>biphosphonate. 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>
>
--
art fougner, md
"I knew I was going to take the wrong train, so I left early."
Lawrence Peter Berra
