Article: Repeat BMD: how thin is the evidence?(MINDFUL PRACTICE)(bone mineral density )(Case study)

The Problem

A 70-year-old woman presents for follow-up of hypertension. Her medical history includes hypercholesterolemia and a remote history of cigarette smoking. She has been doing well and is up to date on her breast and colon cancer screening. Her chart reveals that she had a bone mineral density (BMD) test at age 65, with T scores of -1.5 (left total hip), -1.8 (right total hip), and -1.9 (total lumbar spine). She has continued to exercise and take the calcium and vitamin D supplements that she's been taking since menopause. You consider repeating the BMD test but wonder if additional testing will add value in assessing her future fracture risk. You are ...

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