Read the finding
Musculoskeletal · Pattern recognition
Metabolic bone · biochemistry
5 findings. Cover the answers and work down the list — then flip it and predict the finding from the diagnosis.
Ca normal, PO4 normal, ALP normalOsteoporosis
Ca low/normal, PO4 low, ALP high, PTH high, vitamin D lowOsteomalacia
Ca HIGH, PO4 low, ALP high, PTH highPrimary hyperparathyroidism
Ca normal, PO4 normal, ALP ISOLATED very highPaget disease of bone
Ca low, PO4 high, ALP high, PTH highCKD / renal osteodystrophy