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Ca defecancy syndrom
 

Ca defecancy syndrom

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Lecture By:Dr.Ehab Abusinnah

Lecture By:Dr.Ehab Abusinnah
Ortho-surgeon
Meeqat hospital,Madina.KSA

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    Ca defecancy syndrom Ca defecancy syndrom Presentation Transcript

    • By Ehab Abusinna OSTEOMALACIA OSTEOPOROSIS RICKETS
    • OSTEOPOROSIS - WHO Systemic skeletal disease characterized by low bone mass and micro architectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture which usually involves the wrist ,spine, hip, pelvis, ribs or humerus.
    •  Most common of all metabolic bone disorders  Significant morbidity(50% for hip fractures) and mortality(20% for hip fractures in 1 year)  Lifetime Osteoporotic Fracture Risk(Caucasian) Woman- 40% Men - 20%  Preventive therapies available. Osteoporosis
    •  Low bone density  Micro architectural deterioration  Fractures Osteoporosis
    • Target Sites for Osteomalacia
    • TYPES OF OSTEOPOROSIS  Primary Osteoporosis  Postmenopausal Osteoporosis  Senile Osteoporosis  Secondary Osteoporosis  Diet  Drug Endocrine disease Other Systemic Disorders.
    • Senile or post-menopausal – 95% Indiopathic Primary Osteoporosis
    • SECONDARY OSTEOPOROSIS Endocrine: cushing + exog steroids Hyperthyroidism Hypogonadism Hyperparathyroidism Dm Proclatinoma Acromegaly Preg & lactation
    • RENAL C R F
    • Malabsorption, Celiac Gastrectomy T P N Hepatobiliary disease Chronic hypophosphatemia NUTRITION AND GIT
    • DRUGS Heparin Steroids Anti-convulsants
    •  Diet  Low calcium intake  Low vitamin D intake  Excessive intake of protein, sodium and caffeine  Inactive lifestyle  Smoking , Alcohol abuse Risk factors…
    • RISK INCREASED BY: F – sex Menopause Decreased Ca Smoking Alcohol Inactivity White Race (↓ black)
    • • Osteoporosis, the "silent disease," has bone loss without symptoms. • Onset only occurs with sudden strains, bumps, or fall causes a fracture or a vertebra to collapse. • Collapsed vertebrae may initially be felt or seen in the form of severe back pain, loss of height, or spinal deformities such as kyphosis or stooped posture. SYMPTOMS
    • RICKETS
    • RICKETS
    • RICKETS
    • RICKETS
    • OSTEOMALACIA – LOOSER ZONE
    • OSTEOMALACIA – LOOSER ZONE
    • CHEMISTRY: NORMAL WHY ↑ALK, BUT NOT PERSISTENT
    • PREVENTION: Exercise Good Ca intake Non-smoking
    • LIFESTYLE ISSUES  Tobacco- eliminate it Food – eat it  Exercise – do it  Fall Prevention – work on it
    • Avoid smoking, alcohol and excess soft drink and coffee
    • Eat a health diet lean meat, fish, green leafy vegetables, and oranges and Off course Plenty Milk
    • Healthy bone balance
    • • Prevent further bone loss • Increase or at least stabilize bone density. • Relieve pain and prevent fracture. • Increase level of physical functioning • Increase quality of life Goals of management
    • TREATMENT Ca 1200 mg/day Vitamin D:- 400-2000 IU / day HRT Biphosphonates Calcintonin S E R M S Parathyroid hormone
    • Vertebral Fracture Cascade
    • COMPLICATIONS FRACTURE , The most serious complication of Osteoporosis that leads to  Increased morbidity  Increased mortality  Decreased quality of life
    • THE TIP OF THE ICEBERG ASSESSMENT MANAGEMENT
    • Each year, one in three Ontarians over the age of 65 will take a serious tumble that may land them in hospital with a broken hip. One in three of those who do break their hip will die within a year. Two thirds will experience dementia-like symptoms. Most will never see home again.
    • Osteoporosis, is it only for women??
    • OSTEOPOROSIS IN MEN HAS ITS TIME COME?
    • Osteoporosis, only for older people ??