A patient is suspected to have osteomalacia based on his clinical manifestations and lab/diagnostic workup (low calcium levels, transverse lines on x-ray). The nurse would expect the patient to have which of the following clinical manifestations?
Select all that apply.
A)
Nerve palsy in upper extremities.
B)
Calcification of aortic valve.
C)
Bone pain.
D)
Muscle weakness.
E)
Cold limb with absent pulses.
Ans:
C, D
Feedback:
The clinical manifestations of osteomalacia are bone pain, tenderness, and fractures as the disease progresses. In severe cases, muscle weakness often is an early sign. The person is predisposed to pathological fractures in the weakened areas, especially in the distal radius and proximal femur. Cold limb with absent pulses is caused by lack of arterial blood supply to the affected bone.
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