Metabolic Bone Disease

Question 1

What is osteomalacia?
What happens to our bones ?

Answer 1

Vitamin D deficient
Bone losses calcium and becomes soft

Question 2

Vitamin D is required for the abortion of calcium? True or false

Answer 2

True

Question 3

What are the causes ? (7)

Answer 3

Limited sun exposure
GI malabsoripn
Chronic diarrhea
Pregnancy
Obesity
Chronic liver, kidney, small intestine
Long term use do anti seizure and phosphate binding antacids

Question 4

What are the 3 clinical manifestations?
Describe each

Answer 4

Bone pain
- worse at night - lower back pain

Muscle weakness & progressive deformity
- problems walking, waddling gait

Fractures

Question 5

What are 4 diagnostic studies?

Answer 5

Lowered calcium or phosphorus
Lowered serum 25-hydroxybitamin D
Elevated alkaline phosphatase
X-ray showing bone demineralization

Question 6

Treatment of OSTEOMALACIA (6)

Answer 6

Vitamin d3 ( cholecalciferol)
Vitamin d2 ( ergocalciferol )
Calcium or phosphorus supplements
Diets
Exposure to sun
Weight bearin exercise

Question 7

What type of foods are good for fixing vitamin D ? (5)
Don’t over think it

Answer 7

Eggs
Meats
Oily fish
Fortified milk
Cereals