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Mrs. Morrison came into see Dr. Johnson for her annual checkup. The office was particularly busy; there had been many walk in patients on an already crowded schedule. When Janie, the medical assistant called Mrs. Morrison back she had her step on the scale and recorded her weight. She noticed that Mrs. Morison had lost weight when she asked Mrs. Morrison about it she replied; yes I have finally been able to lose 20 pounds. I didn’t know it would take having my thyroid removed to do it though. Mrs. Morrison also made the comment; I have had to hem all my pants as well. It was the office
policy to obtain both a weight and height when a patient came in for an annual visit. But, obtaining the height was time consuming, since you had to have the patient remove their shoes to obtain a correct height. Janie often skipped this important step or would document the patient’s height with their shoes. 1. Why is it important to measure the patient height at each visit?
s
Since loss of height may indicate vertebral fracture, [ the accuracy of the information on height is relevant for clinical practice.Previous vertebral fracture and thoracic kyphosis were strong determinants of the height loss. Loss of height is common with advancing age. 1,2 Causes include changes in curvature of the spine, narrowing of intervertebral discs and vertebral fractures. Height loss is associated with back pain and thoracic hyperkyphosis. source: ]
Expert answered|sharpies|Points 7289|
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Asked 4/8/2012 6:12:24 PM
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