Osteomalacia

Alternate Name: Rickets

Test:

S.vit. D (L), B.calcium (N or L), S.25-hydroxy-vit,D (L), S.phosphate (L), S.parathyroid hormone (H), S.ALP (H), U.calcium (VL), faecal fat (H), U.phosphate (L)

Sign:

Chvostek's sign, frontal bossing, Trousseau'ssign

Dd:

Osteoporosis, Paget's disease, scurvy, cretinism,osteogenesis imperfecta, renal tickets, Fanconi syn., hyperparathyroidism, multiple myeloma

Phys:

Softening of bone due to inadequate or ineffective levels of vit. D, resulting in reduced calcium ab­sorption from the gut. Rickets is the infantile form