Not Your Classic Antalgic Gait In A Youth Multi-sport Male Athlete

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Not Your Classic Antalgic Gait In A Youth Multi-sport Male Athlete - Page #3

Lab Studies: Complete blood count and basic metabolic panel: Unremarkable C-Reactive Protein: < 0.5 mg/L (normal) Erythrocyte Sedimentation Rate: 2 mm/h (normal) 25-OH-Vitamin D: 58 ng/mL (normal) Celiac IgA: 56 mg/dL (low) TTG IgG: < 4 CU (normal) Lyme: negative Other Studies: Dual-Energy X-ray Absorptiometry Scan: Bone Mineral Density: 0.585 gm/cm2, Z- score -0.20 (normal for age) X-Ray Left Hip: negative for fracture, SCFE, hip dysplasia Magnetic Resonance Imaging (MRI) Left Hip: left femur with compression-side femoral neck stress fracture Case Photo #1 Case Photo #2 Consultations: Pediatric endocrinology was consulted. They agreed with workup thus far (recommended celiac screening) and determined that there was a low suspicion for inflammatory condition or vitamin/mineral deficiencies. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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