Module 3 Case Study AP1
1 out of 1 points
Alyssa is a 74-year-old female patient who presents to her primary care provider for a
routine physical. She states that she feels “quite healthy” and has no complaints other
than mild back pain. She has a family history of various cancers, diabetes...
• Question 1
1 out of 1 points
Alyssa is a 74-year-old female patient who presents to her primary care provider for a
routine physical. She states that she feels “quite healthy” and has no complaints other
than mild back pain. She has a family history of various cancers, diabetes, and
osteoporosis, so she knows that it is important to stay active and keep up with screenings
and annual physical exams. Alyssa’s provider finds that she has lost 10 pounds since last
year’s exam. She is almost a full inch shorter, as well.
Alyssa’s provider suspects that she may have osteoporosis. Which other two factors would
support that other diagnosis?
Selected A history of smoking and being post-menopausal
Answer:
• Question 2
1 out of 1 points
Explain, in your own words, how Alyssa’s loss of height could be related to her
possible osteoporosis diagnosis.
Selected There are no signs or symptoms of early bone density loss, but there are
Answer:
symptoms that can be felt and seen after the affects of osteoporosis have
had on her bones. One symptom is height loss, which is one of the biggest
signs that care providers look for. She also has accompanying back pain
that could indicate a possible bone fracture in the spine. The loss of height
would be an indication that osteoporosis is a possibility for this back pain.
Reference
Mayo Clinic. (2016, July 6). Osteoporosis - Diagnosis and treatment.
Retrieved April 18, 2018, from https://www.mayoclinic.org/diseases-
conditions/osteoporosis/symptoms-causes/syc-20351968
Respons Great job formatting the reference!
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Feedbac
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• Question 3
1 out of 1 points
Alyssa’s provider orders a DEXA scan. Which of the following T-score outcomes would
indicate a diagnosis of osteoporosis?
Selected -
Answer: 2.6
• Question 4
1 out of 1 points
Why might Alyssa’s provider ask her about her diet? Provide two reasons and
, explain how they are related to osteoporosis.
Selected Alyssa's provider might ask her about her diet to see if she is taking in
Answer:
enough vitamin D and calcium, as well as seeing if she is intaking too
much sodium in her diet. Calcium is the best thing you can have in your
diet to help improve bone strength. You can get this in your meals through
milk, yogurt, cheese, and green leafy vegetables. However, if she is not
getting enough vitamin D as well from foods like, liver, fortified milk,
orange juice or egg yolks, that calcium will not be absorbed into the bones.
Another place to get vitamin D is the sun, if unable to get enough through
foods or supplements. Her provider might be curious about her salt intake
as well. A diet high in salt, or sodium, causes calcium loss in our body's,
weakening out bones. If she is intaking too much sodium, regardless of the
amount of calcium she is also intaking, it will affect the absorption.
Reference
Ward, E. M. (2008, January 9). Osteoporosis diet dangers - foods to avoid.
Retrieved April 18, 2018, from
https://www.webmd.com/osteoporosis/features/diet-dangers#1
Respons For the reference, the date should be (n.d.) as we do not use reviewed
e dates - only actual dates or if it would state 'updated on.'
Feedbac
k:
• Question 5
1 out of 1 points
Explain how the body controls calcium levels in the bones and blood. Be sure to
describe the roles of parathyroid hormone (PTH) and calcitonin in detail.
Selected If calcium levels fall short in the blood, the parathyroid gland releases PTH
Answer:
(parathyroid hormone) to the osteoclast cells in the bone to release calcium
from the surface layers of the bone. PTH also sends a signal to the kidney
to absorb more calcium before it is excreted through the urine. If calcium
levels are too high in the blood, another hormone called calcitonin is
released. Calcitonin sends signals to the osteoclasts to stop, or slow down,
the release of calcium from the bone. The osteoclasts are able to start and
stop the release of calcium as soon as it receives these signals.
Reference
American Bone Health. (2017). How the body maintains calcium levels.
Retrieved April 18, 2018, from
https://americanbonehealth.org/nutrition/how-the-body-maintains-calcium-
levels/
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