paget's disease

Question 1

patho paget’s disease

Answer 1

bone resorption occurs but marrow is replaced w/fibrous connective tissue
new bone is larger but breaks more easily
cause unknown
seen 2:1 in men than women

Question 2

s/s of paget’s disease

Answer 2

bone pain, fatigue, progressive waddling gait

Question 3

diagnosis of paget’s disease

Answer 3

bone scan

alkaline phosphatase elevated

Question 4

treatment of paget’s

Answer 4

• calcitonin/pt will report less bone pain
• biphosphonate drugs effectiveness of meds can be monitored by alkaline phosphatase
• NSAIDS for pain

Question 5

supportive measures for paget’s

Answer 5

• firm mattress
• light corset or back brace to relieve pain
• discourage lifting & twisting
• physical therapy to increase musle strength
• good body mechanics
• balanced dietw/ foods high in Vit D calcium & protein