This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Exclude secondary causes of osteoporosis

Authoring team

  • full blood count, ESR or C-reactive protein - for inflammatory causes of spinal deformities, marrow infiltration
  • serum and urine electrophoresis - in patients with vertebral fractures to exclude myeloma
  • biochemical profile, bone profile is usually normal unless the alkaline phosphatase is elevated due to recent fracture
  • TSH - to exclude hyperthyroidism
  • serum 25-hydroxy vitamin D and parathormone – in patients in certain at risk groups ie: asians, housebound, malabsorption, anticonvulsants, pelvic fracture or eating disorder
  • serum paraproteins and urine Bence Jones proteins
  • anti-endomysial antibody if coeliac disease suspected
  • Testosterone, Sex-hormone binding globulin, FSH, LH - to exclude treatable male hypogonadism
  • in pre-menopausal women especially if eating disorder or irregular menses: oestrogen, FSH, LH, prolactin
  • lateral thoracic and lumbar spine X-ray
  • isotope bone scan
  • bone biopsy

Reference:


Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.