10th August 2020

A 67-year-old woman has come into fracture clinic for review of a tibia fracture

A 67-year-old woman has come into fracture clinic for review of a tibia fracture which occurred after she fell out of bed when she woke up to go out for a cigarette. The orthopaedic surgeon does some blood tests and calls her back for review. The results are: Calcium 2.20, Phosphate 1.01, Vitamin D 80, PTH 1.0 and ALP 100.  The clinician believes she has a bone disorder. What is this likely to be?

Normal data levels

Calcium= 2.12-2.65

Phosphate= 0.85-1.45

Vitamin D= 60-105

Parathyroid Hormone PTH= 0.8-8.5

Alkaline Phosphatase ALP= 30-150

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.