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.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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