KINE 2475 Lecture Notes - Lecture 57: Prednisone, Caffeine, Anabolic Steroid

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Background: medical conditions, allergic reaction & nature of allergies, medication history (rx, otc, herbals, vitamins, lifestyle factors. Patients concern & chief complaint: explain the condition, why patient is having these symptoms. Defined as skeletal disease characterized by compromised bone strength predisposing a person to increase risk of fracture. List goals of therapy (parameter, desired value/change, timeframe): prevent fractures, disability, and loss of independence in the next 1-2 years, preserve or enhance bone mass. Improve bmd t-score over the next 1-2 years. Low body weight (<60kg) or major weight loss (>10% of weight since age 25: rheumatoid arthritis, hypogonadism or premature menopause. History: measured height loss of >6cm since peak height or >2cm of loss in past year, history of falling, chronic or acute back pain, endocrine disease: hyperthyroidism, hyperparathyroidism, cushing syndrome, medications associated w/increase fracture: Corticosteroids (3+ months cumulative therapy of prednisone >7. 5mg daily) Chemotherapy at high doses of vitamin a: physical examination:

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