Osteoporosis physical examination

Osteoporosis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

Overview

Disease is associated with the presence of fractures on physical examination.

Appearance of the Patient

Osteoporosis is asymptomatic apart from causing fractures. Such patients may appear anxious and distressed because of pain.

Vitals

Temperature

• Temperature is normal.

Pulse

Rate

• Normal

Rhythm

• Regular

Strength

• The pulse is normal

Symmetry

• The pulses are symmetric

Blood Pressure

• Normal

Respiratory Rate

• Normal

Skin

• Normal

Eyes

• Normal. No icterus.

Ears

• Normal

Nose

• Normal

Throat

• Normal

Neck

• Jugular venous pressure not elevated
• Carotid bruits not present
• Lymph nodes not present
• Thyromegaly may be present in Hyperthyroidism
• Hepatojugular reflux is absent

Lungs

• Normal. No added sounds

Heart

• Normal

Auscultation

• S1 present
• S2 present

Abdomen

• Abdominal distention absent
• Abdominal tenderenss absent
• Rebound absent
• Hepatomegaly absent
• Splenomegaly absent

Extremities

• Clubbing absent
• Cyanosis absent
• Edema absent

Neurologic

• Normal examination