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• W2024279046 abstract "Resident in Internal Medicine (H.A.J.) and Fellow in Endocrinology (M.L.G.), Mayo School of Graduate Medical Education, Mayo Clinic, Rochester, MN; Adviser to resident and fellow and Consultant in Pediatric Endocrinology and Metabolism, Mayo Clinic, Rochester, MN (P.J.T.) A generally healthy 70-year-old woman presented to her primary care physician for her yearly medical examination. Her medical/surgical history was notable for osteoarthritis and a total abdominal hysterectomy with bilateral salpingo-oophorectomy at age 47 for endometriosis. Her medications included a daily multivitamin, 500 mg of elemental calcium twice daily, 400 IU each of vitamins D and E daily, and naproxen and loratadine, both as needed. She was a nonsmoker and rarely drank alcohol. She weighed 65.3 kg and had a body mass index of 21.4. Physical examination findings were unremarkable. Laboratory evaluation (reference ranges provided parenthetically) revealed a mildly elevated total serum calcium level of 10.3 mg/dL (8.9-10.1 mg/dL), phosphorus value of 3.2 mg/dL (2.5-4.5 mg/dL), creatinine level of 1 mg/dL (0.6-1.1 mg/dL), and normal albumin value. Screening dual-energy x-ray absorptiometry (DXA) of the left hip yielded a total T score of þ3.2. During her general medical examination 3 years later, she complained of left buttock pain that had progressively worsened during the previous year. The pain was deep, aching, and worse after prolonged sitting or walking. Physical examination revealed no asymmetry or mass in the hips or buttocks, but tenderness was noted on palpation over her sacroiliac joints and left lower buttock. Findings on neurologic examination were normal. Plain radiography of the lumbar spine revealed degenerative arthritis in the spine and sacroiliac joints, as well as focal lytic lesions in the proximal left femur surrounded by a coarse trabecular network and thickened cortex (Supplemental Figure, available online at http://www.mayoclinic proceedings.org). Her creatinine value was stable at 1 mg/dL, and her hemoglobin level was 14.2 g/dL (12.0-15.5 g/dL)." @default.
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• W2024279046 date "2014-09-01" @default.
• W2024279046 modified "2023-09-24" @default.
• W2024279046 title "70-Year-Old Woman With Buttock Pain and Hypercalcemia" @default.
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• W2024279046 doi "https://doi.org/10.1016/j.mayocp.2013.10.033" @default.
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