I. General Part
Contents 2
Introduction to the profession 4
Stages of the care process 5
NOSOLOGICAL FRAMEWORK OF OSTEOPOROSIS 7
The current definition and its theoretical foundations 9
Discussion of the nosological framework 9
The medical and social dimensions of the problem 11
OSTEOPOROTIC BONE FRACTURES 12
Elements of morphopathology and physiopathology in osteoporosis. 14
Disease risk factors 14
The need for Ca in different population categories 15
Calcium metabolism in women before and after menopause 16
Risk factors for osteoporosis 19
CLASSIFICATION OF OSTEOPOROSIS 22
Senile and post-menopausal osteoporosis 26
Osteoporosis in some genetically determined diseases 28
Osteoporosis in some endocrinopathies 31
Deficiency osteoporosis 34
Iatrogenic osteoporosis 35
Immobilization osteoporosis (Algo-Neuro-Dystrophy Syndrome) 35
Posttraumatic Algic Osteoporosis (Sudeck-Leriche Syndrome) 36
Osteoporosis from systemic diseases 38
Idiopathic osteoporosis 38
THE CLINICAL – BIOLOGICAL FRAMEWORK OF THE MANIFESTATIONS OF OSTEOPOROSIS 39
CLINICAL AND PARACLINICAL DIAGNOSIS OF OSTEOPOROSIS 40
Differential diagnosis of post-menopausal osteoporosis 43
PRINCIPLES OF TREATMENT IN OSTEOPOROSIS 44
Prevention of osteoporosis 44
Basic treatment of post-menopausal osteoporosis 44
Medicines that inhibit osteolysis 45
Osteogenesis stimulating drugs 47
ORTHOPEDIC – SURGICAL TREATMENT OF FRACTURES IN THE ELDERLY 48
II. The Special Part
WORK OBJECTIVES 52
METHODS AND MATERIALS 52
RESULTS 56
CASE I 58
CASE II 64
CASE III 71
DISCUSSIONS 77
CONCLUSIONS 77
BIBLIOGRAPHY: 79
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