Ravi is a 67-year-old man who recently moved to the United States from India. He is a retired engineer. He is also a vegetarian and adheres to a strict macrobiotic vegetarian diet. He was seen because of complaints of diffuse skeletal pain and tenderness, particularly in the hip region, and lower back. Physical exam showed he has some muscle weakness and has somewhat of a waddling gait. STAT labs

showed an elevated BUN and creatinine, low normal calcium, and a serum inorganic phosphate level that was 5.7. X-rays showed pseudofractures of the left femur.

The physician diagnosed Ravi with senile osteomalacia. He prescribed calcium carbonate, and vitamin D. The patient will undergo a bone biopsy next week to evaluate the presence of renal osteodystrophy.

First-listed diagnosis: ________
Fill in the blank with correct word.


Answer: Senile osteomalacia – M83.1

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