A 45yr old lady who has always complained of bone pain prese

A 45yr old lady who has always complained of bone pain presented with fracture of her back bone while bending to pick smething. labs show decrease phosphate and calcium,whats the most likely diagnosis?

a- osteoporosis
b- pagets dx
c- vit d def
d- osteomalacia
e- hyperparathyroidism

Calcium, phosphate, and alkaline phosphatase levels
FROM THE FIRST AID
Ca2+, Phosphate, Alkaline phosphatase, PTH
Hyperparathyroidism ↑ ↓ ↑ ↑
Paget’s disease of bone N/↑ N ↑↑↑ Ν
Vitamin D intoxication ↑ ↑ N/↑ ↓
Osteomalacia ↓ ↓ ↑ ↑
Osteoporosis N N N N
Renal insufficiency ↓ ↑ N ↑
N = no change.

SO C = DD ARE RIGHT
BECAUSE VIT D IS RESPONSIBLE FOR ABSORPTION OF BOTH PHOSPHATE And ca from the intestin

Osteomalacia =vit d deficiency in adult