Simultaneous Bilateral Neck of Femur Fracture in a Young Adult with Underlying Metabolic Disturbances

Table 1

Patient’s lab results on the day of admission.

Lab	Result	Normal hospital range
Vitamin D	19 ng/ml	10–30 ng/ml—mild-to-moderate deficiency
PTH—plasma	149 pg/ml	15–65 pg/ml
Calcium corrected	2.05 mmol/l	2.10–2.55 mmol/l
ACTH	<2 pg/ml	5–60 pg/ml
Cortisol	<22 nmol/l	138–580 nmol/l
SHBG	9.0 nmol/l	10.0–55.0 nmol/l
FSH	0.20 IU/ml	1.00–19.00 IU/ml
LH	<0.5 IU/l	1.0–9.0 IU/l
Testosterone	1.06 nmol/l	10.40–35.00 nmol/l
TSH	0.35 mIU/l	0.45–4.50 mIU/l
FT3	2.32 pmol/l	2.89–4.88 pmol/l
FT4	9.7 pmol/l	9.0–20.0 pmol/l

PTH = parathyroid hormone; ACTH = adrenocorticotropic hormone; SHBG = sex hormone-binding globulin; FSH = follicular-stimulating hormone; LH = luteinizing hormone; TSH = thyroid-stimulating hormone; FT3 = free triiodothyronine; FT4 = free thyroxine.