A 50-year-old is being evaluated in the office due to renal stones. He states that his bowel habits change and feels constipated over the last month. He has no prior medical conditions and takes no medication. He has no family history of inherited disease. His physical examination is normal. Laboratory results are as follows: Which of the following changes in bone structure is most likely associated with this patient's condition?

Question

A 50-year-old is being evaluated in the office due to renal stones. He states that his bowel habits change and feels constipated over the last month. He has no prior medical conditions and takes no medication. He has no family history of inherited disease. His physical examination is normal.  Laboratory results are as follows:  Which of the following changes in bone structure is most likely associated with this patient's condition?

Quizplus · Accepted Answer

Eductional Objective: Increased bone resorption in primary hyperparathyroidism leads to osteoporosis primarily involving the cortical bone of the appendicular skeleton.  The cortical thinning appears radiologically as subperiosteal erosions.  More advanced disease can present as osteitis fibrosa cystica (ie, granular decalcification of the skull, osteolytic cysts, and brown tumors).

A 50-Year-Old Is Being Evaluated in the Office Due to Renal