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MKSAP Quiz: Bone health evaluation

A 60-year-old woman is evaluated for bone health during a routine wellness visit. Her mother was treated for a hip fracture after a fall at the age of 65 years. The patient is sedentary and has a 30–pack-year history of cigarette smoking but quit smoking 2 months ago. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/08/27/3.htm
27 Aug 2024

Closing the gap on osteoporosis

A new clinical guideline from ACP focuses on pharmacologic treatment of primary osteoporosis or low bone mass to prevent fractures in adults.
https://immattersacp.org/archives/2023/05/closing-the-gap-on-osteoporosis.htm
1 May 2023

Association between antidepressants and hip fracture in elderly patients may not be causal

Antidepressant users had more than twice as many hip fractures as nonusers, but this was true both in the year before and the year after starting antidepressant therapy, and the association was strongest immediately before antidepressant initiation.
https://immattersacp.org/weekly/archives/2019/01/08/1.htm
8 Jan 2019

Osteoporosis associated with significant five-year risk of hip fracture in women 80 years and older

Women with osteoporosis had similar mortality risk, but much higher rates of hip fracture, compared to those without osteoporosis but with other risk factors for fracture.
https://immattersacp.org/weekly/archives/2019/06/25/4.htm
25 Jun 2019

Get hip to hip pain assessment

HIPROT becomes an easy acronym to remember when evaluating hip pain, one expert said at Internal Medicine Meeting 2022.
https://immattersacp.org/archives/2022/07/get-hip-to-hip-pain-assessment.htm
1 Jul 2022

Osteoporosis treatment often not started after hip fracture in elderly patients, study finds

The study found a continuous decline in starting osteoporosis treatment after hip fracture from 2004 to 2015, as well as a clinically meaningful reduction in rate of subsequent nonvertebral fracture in patients who did begin treatment versus those who did not.
https://immattersacp.org/weekly/archives/2018/07/24/4.htm
24 Jul 2018

Antidepressants, antianxiety drugs frequently detected in plasma of older adults admitted for hip fracture, study finds

Of the patient population studied, nearly two-thirds had psychotropic or analgesic drugs or both detected in their blood.
https://immattersacp.org/weekly/archives/2017/03/14/4.htm
14 Mar 2017

Managing DOACs in primary care

Primary care physicians play a crucial role in ongoing anticoagulation management, including educating patients about the signs of venous thromboembolism.
https://immattersacp.org/archives/2022/04/managing-doacs-in-primary-care.htm
1 Apr 2022

Post-hip fracture function improved with home exercise program

An at-home exercise program modestly improved function and mobility in hip fracture patients, a recent study found.
https://immattersacp.org/weekly/archives/2014/02/25/5.htm
25 Feb 2014

Finances can offer clues to cognitive problems

A study found that patients with Alzheimer's disease and related dementias were more likely to miss payments on credit accounts as early as six years before diagnosis and to develop subprime credit scores 2.5 years before diagnosis.
https://immattersacp.org/archives/2022/05/finances-can-offer-clues-to-cognitive-problems.htm
1 May 2022

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