Hip Pain In A Young Male - Don't Forget To Dig

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Hip Pain In A Young Male - Don't Forget To Dig - Page #3

Lab Studies: Vitamin D insufficiency (17.4). <br>Normal PTH (24.8). <br> <br>Testosterone mid-to-low normal for age matched individuals: total 464. Elevated LH/FSH. Normal prolactin. <br> <br>Normal CBC, iron stores, TSH, urinalysis, and CMP including calcium and phosphate. <br> <br>Negative for HIV. Normal celiac testing. Other Studies: DEXA <br>- Lumbar spine <br>BMD = 0.835g/cm2, Z-score = -2.3. <br>- Left femoral neck <br>BMD = 0.603g/cm2, Z-score = -2.1. <br>- Left total hip <br>BMD = 0.74g/cm2, Z-score = -1.9. <br>- FOREARM (1/3) <br>BMD = 0.785g/cm2, Z-score = -0.5. <br> <br>Negative celiac biopsies <br> <br>Testicular ultrasound notable for left sided varicocele Consultations: Orthopedic Surgery <br>Endocrinology - recommended chromosomal analysis for Klinefelter Syndrome and Y microdeletions which were ordered and returned normal. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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