The U.S. Border Patrol Emergency Medical Program (EMP) consists of

CC: Lumbar compression fractures and decreased mobility HPI: Mrs. Johnson is a 68-year-old retired woman who presented for her yearly exam. She reports that she has experienced two lumbar vertebral compression fractures over the past year. One occurred after a minor fall, and the other while lifting a 50-pound bag of dog food. These fractures have left her with chronic back pain and limited mobility. She reports difficulty with activities of daily living, including bending, lifting, and walking, due to pain and decreased mobility. Mary was diagnosed with osteoporosis several years ago and has been taking calcium and vitamin D supplements. She was also on a PPI (Omeprazole) for acid reflux. No allergies PMH: Osteoporosis, GERD Meds: Calcium and Vitamin D Checking Bone Density: A dual-energy X-ray absorptiometry (DXA) scan was done to check the bone mineral density (BMD) at the hip and lumbar spine. This confirmed that the person had osteoporosis. An X-ray of her lumbar spine confirmed the presence of 2 remote lumbar compression fractures. Question: suggest pharmacological management for Mrs. Johnson’s osteoporosis. Write prescriptions and patient instructions.

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