Episode Chapters
- Benzodiazepine Taper8:27Palpitations10:55Paper Chase 1: Prediabetes with All-Cause and Cardiovascular Mortality6:01Pediatric Red Eye, Part 124:04OnychomycosisFree Chapter16:40Epiploic Appendagitis7:32Paper Chase 2: Blood Glucose Test Strip Quantity-Limit Policies4:37Things I Do But Should I? Routine Urinalysis in Pregnancy9:07Parasomnias15:19Paper Chase 3: Caffeine and Cardiac Arrhythmias in Patients With Heart Failure5:53Vertebral Compression Fractures23:29Pediatric Red Eye, Part 222:04Paper Chase 4: Effect of Cranberry Capsules on Bacteriuria Plus Pyuria4:50The Summary13:49
Vertebral compression fractures are the most common osteoporotic fractures. They can be caused by low force activities, such as coughing, straining at stool, or as in this case, trying to open a frozen front door. Plain films are the diagnostic modality of choice, although CT and MRI may also be needed depending on your differential diagnosis and treatment plan. While many respond well to conservative management with pain control or bracing, some patients will require surgery.
The Benzos & Fungus Among Us Full episode audio for MD edition 169:10 min - 79 MB - M4AHippo Primary Care RAP March 2017 Summary 563 KB - PDF
Casey P. - March 7, 2017 6:25 AM
Hi Guys
Did you see this Aussie paper out of Sydney? VAPOUR - maybe Vertebroplasty helps?
Clark W, Bird P, Gonski P. Safety and efficacy of vertebroplasty for acute painful osteoporotic fractures (VAPOUR): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet. 388(10052):1408-1416.
It s well done trial, that seems to show some benefit if vertebroplasty is used early.
This is very much a tricky area, complex patients with many comorbidities. The risks are high all round
Adrien Selim - March 10, 2017 8:44 PM
Hey Casey,
No, unfortunately we didn't see that article, it was published after the recording. Thanks for sharing it, really interesting study.
Agree that this a complex area. But with the potential benefit of kyphoplasty and vertebroplasty probably a good idea to get our spinal surgery colleagues on board earlier rather than later.