Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: June Aldridge
Age: 74 years
Gender: Female
Reason for Appointment
Follow-up after Colles' fracture (fall from standing height, 6 weeks ago). Fracture clinic letter: "fragility fracture — please assess bone health and treat as indicated". DEXA completed last week.
Medical History
Past Medical History
- Colles' fracture (right wrist)
- Gastro-oesophageal reflux disease
Drug History
- Omeprazole 20 mg OD
- Paracetamol PRN for the wrist
- No allergies
DEXA & bloods (last week)
- DEXA (last week): lumbar spine T-score −2.9; femoral neck T-score −2.4 (reference ≥ −1.0)
- Adjusted calcium 2.38 mmol/L (2.20–2.60); phosphate 1.1 mmol/L (0.8–1.5)
- TSH 2.0 mU/L (0.4–4.0)
- Anti-TTG IgA <1 U/mL (<10)
- Vitamin D 41 nmol/L (50–120)
- BMI 20