Rickets Diagnosis of Causes Medical Algorithm

Are you evaluating a patient with rickets or osteomalacia?

Yes

Serum calcium

Upper limit of reference range for serum calcium

Lower limit of reference range for serum calcium

Serum PTH

Upper limit of reference range for serum PTH

Lower limit of reference range for serum PTH

Serum phosphate

Upper limit of reference range for serum phosphate

Lower limit of reference range for serum phosphate

Serum alkaline phosphatase

Upper limit of reference range for serum alkaline phosphatase

Lower limit of reference range for serum alkaline phosphatase

Serum 25-OH vitamin D

Upper limit of reference range for 25-OH-vitamin D

Lower limit of reference range for 25-OH-vitamin D

Serum 1,25-(OH)2-vitamin D

Upper limit of reference range for serum 1,25-(OH)2-vitamin D

Lower limit of reference range for serum 1,25-(OH)2-vitamin D

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Data complete?

Evaluation appropriate?

Are the results interpretable?

C/w hyperphospatemic osteomalacia?

C/w vitamin D deficiency?

C/w deficiency 1,25-dihyroxy vitamin D?

C/w target resistance to 1,25-dihdyroxy vitamin D?

C/w phosphate depletion?

C/w hypo-phosphatasia?

C/w abnormal crystal, cell or matrix?

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Caution: A qualified health practitioner should verify all results.
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Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10

Rickets Diagnosis of Causes

Purpose: To evaluate a patient with rickets or osteomalacia using serum chemistry tests and the algorithm of Aurbach et al.

Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10