KL is a 72-year-old African American female living in a long-term care facility close to the Canadian border. She has a history of RA, which was well controlled until recently. She reports taking calcium supplements and eating lots of cheese. She arrives at the hospital with a hip fracture following a fall. Height: 5'8" Weight: 210 pounds
-What is likely the primary cause of KL's condition?

Question

Quizplus · Accepted Answer

KL's history of RA and recent uncontrolled symptoms may suggest the use of medications that can lead to reduced bone density and increased risk of fractures. However, her reported intake of calcium supplements and cheese make it less likely that a calcium or phosphorus deficiency is responsible for the hip fracture. Being overweight may contribute to the fracture, but it is not the primary cause. Low vitamin D status is a common risk factor for fractures and is likely the primary cause in this case. Vitamin D plays a critical role in bone health and calcium absorption, and adequate levels are necessary for maintaining bone density and preventing fractures.

KL Is a 72-Year-Old African American Female Living in a Long-Term