A 58-year-old man has blood work performed as part of a routine health maintenance examination. He reports mild fatigue. His history is significant for type II diabetes. The following nomogram represents his serum alkaline phosphatase (ALP) and calcium concentrations. What’s the most likely diagnosis in this patient?
Early renal insufficiency
Osteomalacia
Paget disease
Primary hyperparathyroidism
Prostate cancer
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Cut-to-the-chase Answer (1:28):
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HY USMLE Answer (14:20):
