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27th February 2025
An 84-year-old woman presents with a history of pain in her wrist and hips, which has been ongoing for several months but steadily worsening.
An 84-year-old woman presents with a history of pain in her wrist and hips, which has been ongoing for several months but steadily worsening. She has a history of hypertension for which she takes amlodipine, TIA for which she takes clopidogrel, reflux disease for which she takes omeprazole, and a statin.
X-rays show a pseudofracture of the right hip.
The blood results are as follows:
| Sodium | 138 mmol/L | 135-145 mmol/L |
| Potassium | 4.1 mmol/L | 3.5-5.3 mmol/L |
| Urea | 4.3 mmol/L | 2.5-6.7 mmol/L |
| Creatinine | 86 μmol/L | 70-100 μmol/L |
| ALT | 41 IU/L | 5-35 IU/L |
| ALP | 167 IU/L | 30-130 IU/L |
| Bilirubin | 7 μmol/L | 3-17 μmol/L |
| Corrected calcium | 1.93 mmol/L | 2.12-2.60 mmol/L |
| Phosphate | 0.58 mmol/L | 0.80-1.40 mmol/L |
| PTH | 7.4 pmol/L | 1.6-6.9 pmol/L |
| Vitamin D | 12 nmol/L | >50 nmol/L |
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