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28th May 2025
A 78-year-old lady presents to AMU with chronic hip pain that has been worsening over the past couple of months.
A 78-year-old lady presents to AMU with chronic hip pain that has been worsening over the past couple of months. She has been taking oral bisphosphonates for 5 years for osteoporosis. X-ray shows cortical thickening of the lateral cortex of the proximal femur.
| Full Blood Count | 135g/L (115-160 g/L) |
| White Cell Count | 8.0 x10⁹L (4.0-11.0 x10⁹L) |
| Platelets | 345 x10⁹L (150-400 x10⁹L) |
| Adjusted Calcium | 2.35 mmol/L (2.1-2.6 mmol/L) |
| Vitamin D | 65 nmol/L (<50nmol/L) |
| ALT | 28 iU/L (3-40iU/L) |
| ALP | 95 iU/L (30-130 iU/L) |
| CRP | 5 mg/L (< 10 mg/L) |
What is the most likely cause of her hip pain?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
What is the likely cause of her hip pain?
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