Hip Pain In A Collegiate Cross Country Athlete - Page #3

Lab Studies:
Vitamin D 36 ng/ml. Potassium 5.4 mmol/l. Total calcium 10.4 mg/dl. Phos 3.7 mg/dl, TSH 1.6 uIU/ml. T4 6.2 ug/dl. PTH 25 pgm/ml. Estimated caloric intake / requirement: intake 1,700 kcals/day; requirement 1,800-1,900 kcals/day

Other Studies:
MRI: Right sided sacral alar stress fracture. Pubic rami and pubic body stress reactive changes.
Case Photo #2 Case Photo #3

DEXA: Z scores: lumbar spine -1.7. femoral neck -0.9. total hip -0.1.

Orthopedic surgery. Dietician.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

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