Pathologic fracture due to osteoporosis without a dexascan...how do you handle?

My orthopedic physicians don't feel comfortable stating 'pathologic fracture due to osteoporosis' if they don't have a dexascan or other definitive diagnosis for the osteoporosis.

They are open to changing if I can give them some literature that it is standard of practice to do this.

They are aware of: Own the Bone/American Osteopathic Association (AOA)/National Osteoporosis Association (NOF) state to start Vitamin D and Ca in patients
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