Question

question 23 (mandatory) (2 points) a 64 - year - old patient presents to your office with frequent headaches, neck pain which radiates down his back, mild hearing loss, and his prescription lenses don’t seem to work anymore. patient made the comment, “my bones ache, and my hat doesn’t even fit me anymore”. on radiographic exam there is a notable increased thickness and density of the skull, particularly at the base. your tentative diagnosis will be: osteogenesis imperfecta osteitis dessicans osteitis deformans osteitis fibrosa cystica

Explanation:

Osteitis Deformans (Paget's disease of bone) can present with bone pain, deformities (like hat not fitting due to skull changes), and radiological findings of increased bone thickness and density. Osteogenesis Imperfecta is mainly characterized by brittle bones and fractures. Osteitis Dessicans is related to joint - cartilage problems. Osteitis Fibrosa Cystica is associated with hyperparathyroidism and cystic bone changes.

Answer:

Osteitis Deformans