31.3 Nutritional Rickets Flashcards

1
Q

if you suspect rickets what do you see on bloods?

A

low calcium, low phosphate, raised ALP

low vitamin D

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2
Q

what check when you see a kid with rickets?

A

check mother’s vitamin D

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3
Q

two things to consider in nutritional rickets?

A
  • dietary calcium

- serum vitamin D

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4
Q

what is vit. D deficiency level? v. insufficiency?

A

deficiency <30

insufficiency: 30-50
ok: >50

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5
Q

abnormal gut function in vit D?

A

coeliac
CF - pancreatic
biliary obstruction

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6
Q

what is calcium deficiency level? v. insufficiency?

A

intake per day

deficient: <300mg
insufficient: 300-500mg
sufficient: 500mg

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7
Q

what does prolonged hypocalcaemia do?

A

hyperparathyroidism
High ALP + hypophosphataemia
osteomalacia/rickets

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8
Q

where is the most sensitive place to detect rickets on x-ray?

A

distal radius/ulna

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9
Q

prevention of rickets, best way?

A

400iu of Vit. D for ALL children for first year of life

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