CASE PRESENTATION

on
RICKETS
BY
SYEDA SARA SULTANA
170315882012
PHARM-D 6 T H YEAR
INTRODUCTION
Rickets is a condition that affects bone development in children. It causes bone pain, poor
growth and soft, weak bones that can lead to bone deformities.
Adults can experience a similar condition, which is known as osteomalacia or soft bones.
SUBJECTIVE DATA
PATIENT DETAILS
NAME XYZ
AGE 5 Years
GENDER Male
IP.NO 36120
Patient was brought to the hospital with chief complaints of
1)Stunted growth
2)Bone deformities

Family history – none

Medication history - nil

OBJECTIVE DATA
ON EXAMINATION
All vitals were found to be normal
Findings :
o Pigeon chest
o Knock knees
o Teeth delayed eruption & hypoplasia
o Large forehead
o Large abdomen
o Low levels of calcium and phosphates in blood
oX ray showed wide gap between legs
ASSESSMENT
Based on the subjective and objective data the patient was diagnosed with

RICKETS
PLAN AND MANAGEMENT
As most cases of rickets are caused by a vitamin D and calcium deficiency, it's usually treated
by increasing a child's intake of vitamin D and calcium.
Vitamin D and calcium levels can be increased by:
 eating more foods that are rich in calcium and vitamin D
 Taking daily calcium and vitamin D supplements
 Having a vitamin D injection each year – this is only necessary if the child can't take the
supplements by mouth or has intestinal or liver disease
 Sunlight also helps our bodies to make vitamin D, so you may be advised to increase the
amount of time your child spends outside.
 Doctor will advise you about how much vitamin D and calcium your child will need to take.
This will depend on their age and the cause of rickets. If your child has problems absorbing
vitamins, they may need a higher dose.
MEDICATION
DRUG GENERIC NAME INDICATION DOSE ROA FREQ 1 2 3

Azachitol Vitamin D3 Rickets 3000 IU IM OD + + +

Vit – D 60 k Vitamin D Rickets Once +

sachets in a
week
Calciman Calcium carbonate Rickets 5 ml PO TID + + +
PATIENT COUNSELLING
*Rickets is a preventable bone disease that affects infants and young
children and causes soft and weakened bones.
*Rickets is caused by a lack of vitamin D, calcium or phosphorus.
*Vitamin D deficiency can occur as a result of having dark skin, lack
of exposure of the skin to sunlight, nutritional deficiencies and
disorders of the liver, kidney or small intestine.
*Improved sunlight exposure, diet, vitamin D and mineral
supplements should be done.
PREVENTION
You can help protect your child from the effects of rickets by understanding their risk
factors for vitamin D deficiency and taking steps to prevent it. Suggestions include:
Sunlight – a sensible balance of sun exposure and sun protection can protect against
vitamin D deficiency without putting your child at risk of skin cancer. The recommended
amount of sunlight each day is a few minutes of sunlight exposure before 10am and after
3pm each day (from September to April) and two to three hours of sunlight exposure over
the week (from May to August). Always protect your child’s skin from the sun during peak
UV times with clothing, shade and/or sunscreen.
Diet – include food rich in vitamin D and calcium in your child’s diet. Foods naturally
containing vitamin D include oily fish (especially sardines, salmon, herring and mackerel),
liver and egg yolks. Foods ‘fortified’ with vitamin D include some margarines and some
milks (including fortified baby formula milk).
Supplements – consult with your child’s doctor or health provider about whether your
child should be prescribed supplements.
THANK YOU