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Case Study Of Osteomalacia

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Introduction : Bone at the tissue level undergoes remodeling: it is continuously being resorbed and rebuilt (or formed). A negative balance between bone resorption and formation, frequently due to excessive resorption, is the basis of many bone diseases. Definition of Osteomalacia : Osteomalacia is a metabolic bone disease characterized by inadequate mineralization of bone. As a result of faulty mineralization, there is softening and weakening of the skeleton. (Brunner and Suddarths Textbook of Medical-Surgical Nursin 12th edition) Pathophysiology of Osteomalacia : The major defect in Osteomalacia is a deficiency of activated vitamin D , which promotes calcium absorption from the gastrointestinal tract and facilitates mineralization of bone. …show more content…

• Severe renal insufficiency because result for bone demineralization of bone by increase of phosphate and decrease of calcium , cause of loss of vitamin D • Hyperparathyroidism increased bone resorption • Prolong use of anti-seizure medication It cause deficiency of vitamin D • Malnutrition • Insufficient vitamin D . Clinical manifestations : Osteomalacia may be asymptomatic and present radiologically as osteopenia. It can also produce characteristic symptoms, independently of the underlying cause, including diffuse bone and joint pain, muscle weakness, and difficulty walking . • Bone pain and tenderness • Muscle weakness • Pathologic fracture • Difficulty walking and waddling gait in four • Skeletal deformities (spinal kyphosis and bowed legs ) , often compression of vertebrae , shorting patient's trunk • Weakness and unsteadiness , presenting risk of falls and fracture • Muscle spasms, cramps, a positive Chvostek’s sign, tingling/numbness due to decrease calcium level.. Assessment and diagnostic findings : Test Expected result X-ray generalized demineralization of bone is

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