Chronic Bilateral, Lateral Calf Pain

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Chronic Bilateral, Lateral Calf Pain - Page #3

Lab Studies: Calcium: 9.9 mg/dL Ionized Calcium: 1.40 mmol/L Parathyroid Hormone: 36 (Normal range: 9 - 77 pg/mL) Vitamin D 25-OH: 25 (Normal range: 30 - 80 ng/mL) Thyroid Stimulating Hormone: 2.35 (Normal range: 0.4 - 4.1 mIU/mL) Complete Blood Count and Basic Metabolic Panel: within normal limits Other Studies: X-ray Left Tibia/Fibula: No acute fracture or dislocation Case Photo #1 , Case Photo #2 X-ray Right Tibia/Fibula: Healed fracture deformities of the proximal fibular diaphysis and the mid tibial diaphysis Case Photo #3 , Case Photo #4 MRI Left Tibia/Fibula: Transversely oriented incomplete stress type fracture within the left fibular head with surrounding bone marrow edema Case Photo #5 , Case Photo #6 , Case Photo #7 , Case Photo #8 , Case Photo #9 MRI Right Tibia/Fibula: Healed tibia/fibula fracture deformities, otherwise unremarkable DEXA Scan (T-score): Spine (-2.3), Left Femoral Neck (-2.7), Right Femoral Neck (-2.6) Consultations: He underwent rheumatology and endocrine consultations for osteoporosis. Further lab testing was unremarkable, including C-telopeptide, thyroid studies, testosterone and sex hormone binding globulin. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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