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Rickets - Coggle Diagram
Rickets
Investigation findings
FBC, may show renal anaemia
Bone profile
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ALP, raised (high bone turnover)
Vitamin D, usually low can be normal
LFTs, may be abnormal in CLD
UEs, may be raised in CKD
Urinary electrolytes, inc calcium and phosphate
Xray of long bones
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Cupping, splaying and fraying of the metaphysis
Management
Treat emergency issues, such as symptomatic hypocalcaemia
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Other MDT, eg renal team, as necessary
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Aetiology
Hypocalcaemic
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Medications, eg loops diuretics/corticosteroids
Phosphate deficiency
Primarily renal wasting
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Genetic causes, such as, McCune-Albright syndrome
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