Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 5
  1. Vitamin D deficiency. As the elderly population increases, vitamin D deficiency is becoming more and more common and is usually related to poor nutrition combined with limited exposure to sunlight; the 2 sources of vitamin D are the diet and cutaneous synthesis after ultraviolet irradiation. Although the patient’s back pain could be explained by any of the suggested diagnoses, osteoporosis is not usually accompanied by calcium abnormalities. Multiple myeloma and primary hyperparathyroidism more frequently present with hypercalcemia; renal failure should have manifested other signs, apart from the hypocalcemia.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj