The Case of the Enlarged Jaw

A patient presents with jaw pain and enlargement. Labs show high Alkaline Phosphatase and normal creatinine. What’s the next step to confirm the diagnosis?

Bone scan


This patient presented with jaw pain and was found to have an elevated alkaline phosphatase and a normal serum creatinine. Which one of the following tests would confirm the diagnosis?

What is the most likely diagnosis?

Bone scan
Insulin-like growth factor-1 level
Serum calcium
Abdominal ultrasound
Testing the function of the facial nerve

Alkaline Phosphatase, Bone scan, Data Interpretation, Jaw pain, Paget’s Disease

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