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Reported Question / Answer
Q.) 60 year old male with bony abnormality at upper tibia associated with sensori neural hearing loss.On laboratory examination serum alkaline phosphatase level are (440 mU/l) elevated and serum Ca+and PO4 are normal.Skelatal survey shows ivory vertebrae and cotton wool spots in X-ray skull.Diagnosis is -
1)
Paget disease
2)
Fibrous dysplasia
3)
Osteoporosis
4)
Osteosclerotic metastasis
5)
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1
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