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What investigation is most likely to reveal the cause for this lady’s chest pains?
Which of the following groups of patients are at high risk of Vitamin D deficiency?
This lady’s serum 25(OH)D levels return at 41nmol/l; your local reference range is 25-100nmol/l. Does she require treatment?
very interesting case!
Those cases attend self usually in the Urgent Treatment Unit and it is a good practice to be aware of this differential when other causes are ruled out mainly in non-specific chest pains.
Prompt diagnosis and treatment prevents many future & recurrent ED attendances.