This is a troubling issue for many physicians, as care can be made more complicated; many patients labeled with RAD do not ultimately have asthma and most RAD patients have never formally had their airway reactivity measured.In addition to the inconsistencies of its labeling, there is also no billing designation for RAD in the International Statistical Classification of Diseases and Related Health Problems, or the ICD, which can lead to problems for healthcare facilities. Searches in the ICD, point to content relating to asthma. Some medical professionals argue that using RAD as a diagnosis will only complicate research on asthma in the context of clinical research and epidemiology. There is also dispute that by giving physicians the ability to label a patient with RAD, it gives them a fabricated sense of security that they have made a diagnosis, when no real recognizable diagnosis has been concluded. See also
Bronchiolitis

References


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Primary hyperparathyroidism
Simple bone cyst
Aneurismal bone cyst
Osteoporosis
Chronic osteomyelitis
Osteogenesis imperfecta
Osteomalacia
Rickets
Renal osteodystrophy
Malignant infantile osteopetrosis
juvenile osteoporosis
juvenile rheumatoid arthritis

Miscellaneous causes
Monostotic fibrous dysplasia
Eosinophilic granuloma
Bone atrophy secondary to diseases like polio

Diagnosis
In circumstances where other pathologies are excluded (for example, cancer), a pathologic fracture is diagnostic of osteoporosis irrespective of bone mineral density. Management
Based on Mirels score (if the score is more than 8), bone fixation should be done prophylactically. Fixation is done by internal fixation rather than conservatively, along with treatment of the underlying cause. References


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