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A thin 14 month old is brought to the ED with 'cramping' of her hands and feet. Her parents are convinced these intermittent cramps are why she 'does not yet walk'. She has history of one seizure when she was an infant. She was exclusively breast-fed until 1yr of age and has recently started drinking juice. Initial lab studies are pertinent for Ca 7.7 and phosphorus of 2.8. Which of the following is the most likely working diagnosis for her cramping and seizure history? A thin 14 month old is brought to the ED with 'cramping' of her hands and feet. Her parents are convinced these intermittent cramps are why she 'does not yet walk'. She has history of one seizure when she was an infant. She was exclusively breast-fed until 1yr of age and has recently started drinking juice. Initial lab studies are pertinent for Ca 7.7 and phosphorus of 2.8. Which of the following is the most likely working diagnosis for her cramping and seizure history? Hypoparathyroidism Pseudohypoparathyroidism Vitamin D deficiency Chronic renal insufficiency.
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