【临床医学】佝偻病#x2d;2005(1).pptxVIP

Vitamin D deficiency;In the skin:;Vitamin D roles;Kidneys;Causes of Vitamin D deficiency;Vitamin D-Deficient Rickets;Vitamin D deficiency;Cliniacl manifestations General manifestations: irritability, temporary teeth eruption delayed, anterior fontanel closure delayed Muscles lack of tone 戸 Head: craniotabes, Ping-Pong ball^caput quadratum Chest: beading of the ribs, pigeon breast deformity, Harrison groove Limb: Thickening of the wrists and ankles Bow-legs, knock-knees;Caput quadratum;Pigeon breast deformity;The beaning of ribs (Rachitic rosary);Harrison groove;Thicking of the wrists;Biochemical changes;Radiographic findings Active rickets: Distal ends, cupping and fraying of the radius and ulna Healing rickets: Zones of preparatory calcificaiton (ZPC); rachitic metaphysis calcification taken place;Diagnosis Based on: a history of inadequate intake of vitamin D、inadequate exposure to sunlight Characteristic clinical signs of rickets. Confirmed by: Chemical and radiographic examination;Differential Diagnosis;Vitamin D-resistant Rickets;Treatment;Prevention;Tetany of Vitamin D Deficiency (infantile tetany);Hyp ervitamino s i s D Excessive amounts of Vitamin D intake, usually develop after 1-3 mo of excessive intake Anorexia, irritability, constipation^ polydipsia Chemical examination： Hypercalcemia and hypercalciuria radiographs: metastatic calcification and generalized osteopetrosis in long bone Treatment: discontinuing vitamin D intake and decreasing calcium intake;大学彈T中由弗 * 罢 QQ r 91 D67C)S5^ 如伐未j 诸害*? 备所州;httD:〃/611696569