SITUATION : Dervid, A registered nurse, witnessed an old woman HIT by a motorcycle while crossing a train railway. The old woman fell at the railway. Dervid Rushed at the scene.The old woman told John that she has osteoporosis; Dervid knew that all of the following factors would contribute to osteoporosis except
A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin.
Hypothyroidism-b,c,d all contributes to bone deminiralization except hypothyroidism. hyperthyroidism will contribute to bone deminiralization as well as hyperparathyroidism due to the increase in pth, it will cause the movement of calcium from the bone to the blood causing hypercalcemia. esrd will cause increase in phophsate due to its poor excretion. the amount of phosphate is inversely proportional to the amount of calcium. cushing disease promotes bone demineralization as well as medications like diuretics and anti convulsants.