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Marcy, a 32-year-old teacher is of late telling friends that she is feeling strange but cannot specifically identify her condition with precision. She is

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Marcy, a 32-year-old teacher is of late telling friends that she is feeling strange but cannot specifically identify her condition with precision. She is unmarried but enjoys a healthy relationship with her fianc. About 2 months prior she had a Dexa scan. Some osteopenia with mild scores of osteoporosis especially in her lower spine has been noted. Her doctor wishes to pursue some investigational testing. She has had 1 bout with kidney stones. She believes her mother might have had kidney stones as well but was not sure. She has occasional abdominal pain, with concurrent joint and bone pain. Her appetite is OK, but sometimes off. She is occasionally depressed. Might any additional questions be asked of this patient? List several possible diagnoses. What tests might you consider ordering? (Think endocrine) (1203) Is there a primary and a secondary cause of this endocrine disorder? What are some conventional treatments and drugs indicated for this condition?

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