rickets Flashcards
signs of hypOrcalcaemia in infancy
Laryngospasm seizures neuromuscular hyperexcitability apnoea URINARY RETENTION - startle during sleep - increased sweating hair loss of nape - delayed fontanelle closure - soft edges of fontanelle!
Unary incontinence or urinary retention associated with hypocalcaemia
unary retention
CHRONIC HYPOCALCEMIA SIGNS
dry skin brittle nails alopecia dysfunctional dentition eczema cataracts, Parkinson like problems osteoporosis
rf for richest
breast fed babies, darker babies, as usual premies,
girls in puberty with poor socio economic status
GROWING KIDS
babies fed yoghurt are at risk for
fe + ca deficiency
prophylactic dose and age
1 drop - term after 20 days
2 drops - premie. after 7 (lec)or 10 days
ECG SIGN
PROLONGED QT INTERVAL
treatment for acute crisis
1mg/kg 10% calcium
when do we see signs of hypophosphatenic rickets what is the first sign
> 1 year parents noticed the child walks dodgy with bowing of the legs
growth plates are
epiphysis DOUBLLE CHEK
HYPOCALCEMIA
TOTAL< 1.75
Ionised <0.6
normal values
total 2.12-2.62
ionised 1.10-1.36
who should received prophylaxis via d
babies 6 months - 5 years
pregnancy and breast feeding
>65
