young_doc
Forum Guru
Topics: 56
Posts: 735
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Most patients with Paget’s are actually asymptomatic, and need no treatment.
Only treat those with symptoms, or when it’s the weight-bearing bones that are affected.. treat with bisphosphonates.
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| tongsaa
Forum Junior
Topics: 15
Posts: 52
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UW says indication for treatment of Paget disease:-
1.) bone pain
2.) hypercalcemia/immobilisation
3.) neurological deficits
4.) high output cardiac failure
5.) preparation for ortho surgery
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| cirus
Forum Guru
Topics: 108
Posts: 740
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Paget D is mostly asymp..
If discovered coincidently tt depends on ---> age < 30, Hypercalcemia, affection of weight bearing bone, high output cardiac failure & prep for sugery (only if there is hypercalcemia). then the next step would be biphosphonates
in case on an acute present, the 1st step is normal saline infusion, then frusemide & then mentainance on biphosphonates
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