Rickets Flashcards
1
Q
What is Rickets?
A
Normal bony tissue but decreased mineral content. Termed rickets if still growing, Osteomalacia if after epiphysis fusion
2
Q
What are the risk factors for rickets?
A
Inadequate sunlight exposure
Breast feeding
Family History
Darker skin complexion
3
Q
What causes rickets?
A
Vitamin D deficiency e.g. malabsorption, lack of sunlight, diet Renal failure Drug induced e.g. anticonvulsants Vitamin D resistant; inherited Liver disease, e.g. cirrhosis
4
Q
How does rickets present?
A
Knock-knee
Bow leg
Features of hypocalcaemia
5
Q
How should suspected rickets be investigated?
A
Bone study: Vitamin D levels Alkaline Phosphate Calcium Phosphate PTH test
X-ray: children – cupped, ragged metaphyseal surfaces;
6
Q
How is rickets managed?
A
Treat cause
Calcium with vitamin D tablets
