A patient presents with decreased calcium, decreased phosphate and increased alkaline phosphatase. Diagnosis is -
Ans. is 'b' i.e., Vitamin D deficiency Changes in vitamin D deficiency (Osteomalacia or Rickets)o Serum Ca++-Normal to decreaseo Serum P04-Decreasedo Alkaline phosphatase -Increasedo PTH -N/increase Serum CaSerum phosohorusAlkaline PhosphatasePTHPrimary Hyperparathy roiriismIncreaseDecreaseIncreaseIncreaseSecondary' hyper parathyroidismDecrease or NIncreaseIncreaseIncreaseOsteoporosisNNNNPaget's diseaseNNIncreaseNOsteomalacia (Vitamin D deficiency)DecreaseIncrease/ decreaseIncreaseN/Increase
Hyperparathyroidism
Vitamin D deficiency
Osteoporosis
Chronic renal failure
Hypercalcemia and Hypocalcemia