L3 and l4 vertebrae however these could not be ruled

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L3, and L4 vertebrae. However, these could not be ruled out as new or old fractures due to lack of previous imaging for comparison. The patient was admitted for further evaluation. Medications on Admission: Daily multivitamin. Allergies: NKDA. Social History: The patient is retired and lives in an independent-living apartment in the Pine Valley retirement community. She has never smoked and has no alcohol intake. Past Medical History: She has osteoporosis and osteoarthritis. Also of note is that approximately 10 days prior to admission, the patient had sustained a distal radius fracture of her left forearm for which she was treated with a splint by an orthopedist. Physical Examination: This is a well-developed, well-nourished elderly female in no acute distress. She had moderate discomfort on movement. Her HEENT exam was essentially normal. Her lungs were clear. Heart had a regular rate and rhythm. Abdomen was soft and nontender. Her rectal sphincter showed good tone. Her back showed moderate tenderness to palpation in the upper lumbar and lower thoracic area. Neurologically, cranial nerves 2–12 were grossly intact. Motor strength was 5/5 in all examined extremities. The left extremity

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