Table 29.2—Screening for Secondary Osteoporosis*
|
Disease |
Recommended Laboratory Tests |
|
Cushing’s disease |
Electrolytes, 24-hour urinary cortisol |
|
Hyperthyroidism |
Thyroid-stimulating hormone, thyroxine levels |
|
Hypogonadism (men only) |
Bioavailable testosterone |
|
Multiple myeloma |
Complete blood cell count, serum electrophoresis, urine electrophoresis |
|
Osteomalacia |
Alkaline phosphatase, 25(OH)D |
|
Paget’s disease |
Alkaline phosphatase |
|
Primary hyperparathyroidism |
Calcium, parathyroid hormone levels |