A 9-year Old Girl With A Funny Feeling In Her Hip

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A 9-year Old Girl With A Funny Feeling In Her Hip - Page #3

Lab Studies: Sept, 2013: Vitamin D 1,25 OH: 22 Ng/ml Nov, 2013: Creatinine: 0.7 BUN: 13 Vitamin D 1,25 OH: 46 Ng/ml PTH-rP: 0.5 (ref <2.0 pmol/L) Calcium: 10.3 Phosphorus: 4.3 Bone Alkaline Phosphatase: 43 11/27/13: DEXA: Normal bone density. No osteopenia, osteoporosis, or osteogenesis imperfecta risk. Right hand Xray: Chronologic age: 9 years, 10 months Bone age: 10 years, 0 months Follow-up: 7/1/14: Vitamin D 1,25 OH: 43 Ng/ml Tissue Transglutaminase (TTG) IgA: 4 Units Other Studies: XR reveals possible stress fracture of the left medial femoral neck. MRI: reveals a 1 cm medial femoral neck stress fracture line with significant surrounding edema. No evidences of slipped capital femoral epiphysis and normal growth plates. Case Photo #2 Case Photo #4 Consultations: Pediatric Endocrinology Pediatric Orthopedic Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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