Yakult Kuralt Mpakaw (27)

- -
- -

Rickels in children
- . _

• Examination at Head •

conclusion

④ Picture at Head osteoid Hyperplasia caput quadratures flat

,

head At at
occipital bone)
altering
.

② Picture at head osteomalacia oblique at the occipital

head to the d-
parietal region at the .

or to the lt Olympic forehead ?

•
.

③ Pickle at Head flattened occipital bone happens mainly

in osteomalacia with his crauitalus
may
also
happen .

⑨ Pickle of chest shoe markets chest there is a depression in

the bowel third of the sternum Radi tee at .

ribs it is formed on the ribs

the
dual line when the
along
at
the
Palast bony Pats
rib poses into
cartilaginous .

⑤ Pickle of forearm Rachitis ulaabts are formed ( at

at the forearm and rkin )
thickening epiphysis

⑥ Picture of shaped cubature of lower extremities flat

legs
'
O' the
foot 8 bow
legs .

⑦ Picture of teeth
Disturbances of the team and older of
cutting of
Primary teeth 85% enamel loss .
1) Evaluate Physical Development : -

SD at normal
length
•
io

BMI
14.9kg / ?
__{j÷ = m
,

2 8D is below normal value .

• Conclusion :-

physical development is low

Body
.
mass del < 1- 2M ,

BMI . Children are classified as malnourished if this standard

deviation ( -2 8D or -3s D)
-

scores ale below minus hot minutes .

2) General Blood Analysis : -

ltonmanalues
Hb ( gli) 122 134-194 gll ( less)

RBC ( Ion) 3.7 3.8 -

5.3 ( Ion) (less)

PIT ( Id) 250 Normal

FOR ( Iot mm / a) 12 Normal

HBC (%) 6.8 Normal

Eos (%) 1 Normal
hym / %) 53 Normal
Nen ( %) 56 Normal
Normal
Non (%) so .
 Urine test Yellow colour -
Normal

Colour Yellow
-

Normal

Protein -
Ore Normal
•

RBC -

-0k Normal
•
HBC -
one Normal
•
Glucose -

one Normal

Bacterial culture Normal

•

-0k

Phosphates ⑦ re downloads afrit D. Redwood phosphates

•

BIG ehemirtoy
It .

Conclusion
• Calcium /mind / e) 2.3 2.2-2^5 Normal

Phosphorous Cmmalfl) 2.5 1-3-2-3 Normal

•
Alkaline
phosphate 1mmol / 1) 925 4644
High ALP because cell

activity increased .

Normal
Blood come .okñtD
lereletril-DCro-GDdek.at
ñtD .

2s -

Hydmayñt D:
Hey / me Dek.at vitamin D .
 card was Sadie tie & dat
✗
ray
Mat Root Bow
legs ioohaped pelvis
- - -

. ,

8) Diagnosis :-< Peak paid -

Rickets due to rit D
delicacy plus the

above legs and above

pictures at child donor
showing ✗ shower bow
rays
the at tickets
sym . .

4) Treatment :-

Regime
:

my
to Halt non diet for child take him in natural
rnaliglt
-
•
.

for rit D.
-
do not overfeed baby .

food
Diet : Add 5 meals per day include net D rich like fish
• -

mushrooms
Cod hones oil .
egg yolk lives , .
.

•
Med : wit B is prescribed in daily dose of tsooo IV In Rummel
-

a .

rit D. is recommended .

and lids effect of net Ds

Monitoring therapy :
therapeutic doses requires
• -

to hold a
sample at rullo alia .

every F- Io
days
check ok rit
• on
Hypervitaminosis D.
•
Prevention : -

Antenatal non-specific prophylaxis ,

antenatal specific
prophylaxis . Postnatal non -

operatic prophylaxis . Postnatal specific

Pmp hylaeir .