What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
What is a Bone Density Test? How does the doctor choose where to scan you (wrist, ankle, hip)? What is the difference between this and a bone scan?
What is a Bone Density Test?
A bone density test is an examination by either special x-rays or ultrasound to determine how much bone mineral content (calcium and other minerals) is present in any section of bone. The higher the mineral content, the denser the bone. This is one of the ways to determine the risk of fracture.
What are the different types of bone density tests and what are the differences between them?
There are various types of tests available, peripheral and central . The peripheral devices measure the finger or ankle, and these central devices measure the spine and hips.
The peripheral devices are significantly cheaper and are easier to use; however, they are often used for screening for they do not measure the actual areas where fractures occur. This i...
Pain and aches in your bones and joints can range from mild discomfort that goes away by itself to severe aches that require medication. Arthritis can cause bone and joint pain. Cancer spreading (metastasizing) into a bone also causes pain.
Some breast cancer treatments may cause bone or joint pain:
Arimidex (chemical name: anastrozole)
Aromasin (chemical name: exemestane)
Femara (chemical name: letrozole)
Evista (chemical name: raloxifene)
Fareston (chemical name: toremifene)
Faslodex (chemical name: fulvestrant)
Some pain medications, such as Feldene (chemical name: piroxicam) also can cause bone or joint pain. Bisphosphonates, medicines used to treat osteoporosis, may cause bone or joint pain. Common bisphosphonates are Fosamax (chemical name: alendronate sodium), Actonel (chemical name: risedronate), and Boniva (chemical name: ibandronate).
Managing bone or joint pain
If you have bone or joint pain, talk to your doctor. If your bone p...
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