RT Journal
A1 Wei S, Siegal GP
T1 A 23-year-old woman with a right femoral neck fracture
JF JAMA
JO JAMA
YR 2011
FD December 7
VO 306
IS 21
SP 2385
OP 2386
DO 10.1001/jama.2011.1748
UL http://dx.doi.org/10.1001/jama.2011.1748
AB 
A 23-year-old woman was referred for evaluation of a right femoral neck pathologic fracture. Review of her pelvic computed tomography (CT) scan from the referring hospital revealed multiple lytic bony lesions in her pelvis bilaterally and in both proximal femurs and a right femoral neck fracture (Figure 1). On admission, she had an elevated serum calcium level (14.8 mg/dL; normal range, 8.5-10.1 mg/dL [to convert to mmol/L, multiply by 0.25]), decreased serum phosphorus level (2.3 mg/dL; normal range, 2.5-4.9 mg/dL [to convert to mmol/L, multiply by 0.323]), serum creatinine within normal limits, and an undefined anemia (hemoglobin, 7.8 g/dL; normal range, 11.3-15.2 g/dL). She was treated with intravenous fluids, pamidronate for her hypercalcemia, and a blood transfusion for her anemia. She then underwent a hemiarthroplasty.