A patient comes into the orthopedic clinic complaining of severe pain in his hip that was not caused by a fall. On inspection, the femur and tibia are bowed

There is also a reduced angle of the femoral neck, which gives the patient a "waddling gait" appearance. The doctor suspects Paget disease. The patient asks how he got that. The nurse will respond,
A)
"It's because you don't eat enough calcium-rich foods in your diet."
B)
"When you were a child you probably broke you hip, and since it wasn't displaced, you continued to walk on it."
C)
"It might be related to a thyroid condition. We will need to run some more blood work."
D)
"It's most likely a genetic predisposition. Do you know if anyone else in your family has this problem?"


Ans:
D

Feedback:

Although the cause of Paget disease remains unclear, there is evidence of both genetic and environmental influences. It has been reported that 15% to 40% of people with the disease have a first-degree relative with Paget disease, and numerous studies have described extended family members with the disease.

Nursing

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