Investigations & Diagnosis
Investigations & Diagnosis
- Blood tests:
Bone profile (calcium, phosphate, ALP)
PTH FBC
Folate
B12
Renal function
LFTs
TFTs Coeliac screen
- Imaging:
X-ray long bones (rickets)
X-ray affected site (osteomalacia)
Complications Of Deficiency
- Falls & Fragility fractures
- Osteomalacia (bone pain, waddling gait, muscle pain & weakness)
- Osteoporosis
- Rickets (think about knock-knees and costochondral swelling)
- Hypocalcaemia (irritability, tetany, seizures)