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Home > CME > Courses
Reducing the Risk for Falls and Fractures:
The Role of Vitamin D in the Elderly

Certified for 1 AMA PRA Category 1 Credit

Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education,
Division of Gerontology, Geriatrics, and Palliative Care, and
The Center for Aging

Release Date: May 27, 2008
Expiration Date: May 27, 2011
TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, physicians and other healthcare professionals should be able to:
  1. Review the biologic effects of Vitamin D.
  2. Define Vitamin D insufficiency.
  3. Understand that Vitamin D insufficiency is a frequent and treatable secondary cause of osteoporosis in the elderly.
  4. Review recent studies examining Vitamin D insufficiency and physical function in the elderly.
  5. Discuss treatment recommendations for Vitamin D insufficiency.
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SOURCE:
EDITOR AND CONTRIBUTING AUTHORS:

Angela R. Curtis, PhD
Managing Editor
Assistant Professor, Geriatric Education Manager

Division of Gerontology, Geriatrics and Palliative Care

Allyson K. McDonough, MD
Fellow, Division of Clinical Immunology and Rheumatology

Jeffrey R. Curtis, MD, MPH
Assistant Professor of Medicine, Division of Clinical Immunology and Rheumatology
Director, UAB Arthritis Center for Education and Research on Therapeutics

University of Alabama at Birmingham
Birmingham, Alabama

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DISCLOSURE:
The faculty has no commercial affiliations to disclose.

Because of the nature of preliminary studies, some products mentioned are unlabeled and investigational. Dosages, indications, and methods of use of drugs mentioned in this publication may reflect the experience of the authors, clinical literature, or other resources. Therefore, please see the full prescribing information before using any licensed product mentioned.

CME PARTICIPATION:
To participate in this online course for CME credit, please review the objectives before beginning the program. Complete the course and the self-assessment test before May 27, 2011 to receive CME credit. Your certificate will then be available online. This process should take approximately 1 hour.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

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DISCLAIMER: 

Dosages, indications, and methods of use of any drug referred to in this publication may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned. UAB is an equal opportunity/affirmative action institution.


CASE:

You have been caring for a pleasant 75-year-old female nursing home resident for several years. Her medical history includes mild Alzheimer’s dementia, COPD, and type-II diabetes mellitus. She is currently taking theophylline and metformin. She avoids milk because of lactose intolerance. Over the past several months she has been complaining of generalized achiness and depressed mood. Physical exam reveals mild kyphosis. Initial lab work shows normal CBC, TSH, mild renal insufficiency (creatinine clearance of 65cc/minute), and normal serum calcium. Central dual-energy x-ray absorptiometry (DXA) shows that the lumbar spine T score is -3.0 and the total Hip T score is -2.4, which is consistent with osteoporosis.


Case, Question 1 of 5

1. What further work-up is indicated based on your findings thus far?

A. No further work-up is needed, start a bisphosphonate such as Boniva.
B. Intact parathyroid hormone (PTH) and 25-hydroxy (25-OH) Vitamin D level.
C. Geriatric psychiatry consult to evaluate and treat her depression.
D. Bone scan to identify occult fracture.



 

 
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