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: <br>Vitamin D 1,25 OH: 22 Ng/ml <br> <br>Nov, 2013: <br>Creatinine: 0.7 <br>BUN: 13 <br>Vitamin D 1,25 OH: 46 Ng/ml <br>PTH-rP: 0.5 (ref <2.0 pmol/L) <br>Calcium: 10.3 <br>Phosphorus: 4.3 <br>Bone Alkaline Phosphatase: 43 <br> <br>11/27/13: <br>DEXA: Normal bone density. No osteopenia, osteoporosis, or osteogenesis imperfecta risk. <br> <br>Right hand Xray: <br>Chronologic age: 9 years, 10 months <br>Bone age: 10 years, 0 months <br> <br>Follow-up: 7/1/14: <br>Vitamin D 1,25 OH: 43 Ng/ml <br>Tissue Transglutaminase (TTG) IgA: 4 Units Other Studies: XR reveals possible stress fracture of the left medial femoral neck. <br> <br>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. <a href="CaseStudyImages/CS2A9yearoldgirlwith-286.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS4CS3CS2A9yearoldgi-286.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> Consultations: Pediatric Endocrinology <br>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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