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?
Answer A. Bone scanPaget's disease, acromegaly, and renal osteodystrophy are among the causes of jaw enlargement, visible in this image. An elevated alkaline phosphatase makes Paget's disease the most likely diagnosis; the diagnosis can be confirmed with a bone scan.
Bone scan
Insulin-like growth factor-1 level
Serum calcium
Abdominal ultrasound
Endocrinology