Sumario GUÍA DE ESTUDIO OSTEOPOROSIS - UNIVERSIDAD DE LA SABANA
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Course
Medicina interna
Institution
Universidad De La Sabana
Guía de estudio sencilla que cubre a profundidad los principales puntos de la osteoporosis, desde fisiopatología a manejo en los pacientes. Ideal para estudio.
⑧SSFE8IPOROSS IIS
GENERALIDADES
· La osteoporosis es una enfermedad que se caracteriza por presencia de
disminución de densidad osea lo que aumenta riesgo de fracturas por
fragilidad
, una fractura por fragilidad se define como:
~
calda secundaria a un trauma de bajo impacto
~calda des de la propia altura o mas baja
·
1:2 museres
·
1:5 hombres
·
las fracturas más frequentes son vertebra, cadera y muneca
·
es enfermedad silente no presenta sintomas hasta la fractura
una que
FISIOPATOLOGIA
> METABOLISMO OSEO
1) WNT
coreceptores transmembrana
·
Ligando que se une a
osteoblasticos
y crea
genes
· Inhibido por DKK1 Y esclerostina
2) RANK -
RANKL -O4G
·
RANKL Se une al RANK Para promover la
resorción osea
· opo se une a KANKL Para inhiber la resorcion
o sea
↓ un disbalance en estos mecanismos nos lleva a la
osteoporosis
· Los principales FR van a ser
~envejecimiento
~menopausia=
La disminución de estrogenos lleva a *RANKL Y OPG
&
>Principales FR
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