Broken 2

Musculoskeletal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle-aged woman has presented with acute mechanical back pain. Examination reveals spinal point tenderness, suggesting at a vertebral fracture. Spinal x-rays confirm a fracture of the L2 vertebra and also reveal osteopenia. When considered along with the absence of trauma or severe stress to the spine, this is worrisome of osteoporosis.\n\nBone densitometry with should follow. This reveals Z-scores of the lumbar spine and femoral neck that are 2.9 and 2.5 standard deviations below the norm respectively. This confirms the presence of osteoporosis. Note that osteoporosis in a premenopausal woman should always elicit suspicion of a secondary cause. Corticosteroid use is the commonest cause of secondary osteoporosis\u2014and given the history"}]}

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