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Rickets of Vitamin D Deficiency  Tetany of Vitamin D Deficiency ,[object Object]
Rickets
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Factors associated with Ca ,P  metabolism and bone development
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism and regulation of VitD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PTH↑ Ca ↓ , P↓ ( - ) ( + ) Ca ↑ CT↑
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pathology
Fig.1 Levels of growth plate zone of resting cartilage zone of proliferating cartilage zone of calcifying cartilage zone of preparatory  calcification
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],*Non-calcified, hypertrophied growth plate in rickets  (R),  compared to a normal growth plate (L).
Pathology ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early stage  (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
bare occiput
Early stage  (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Progressing stage ,[object Object],[object Object],[object Object]
Progressing   stage  osseous change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
boxlike appearance
Progressing stage  osseous change ,[object Object],[object Object],[object Object],[object Object],[object Object]
rachitic rosary
Harrison groove   Funnel-like chest   L:  pigeon breast
Progressing stage   osseous change ,[object Object],[object Object],[object Object],[object Object],[object Object]
R.  thickening  of the wrists   L.  thickening  of the ankles
Thickening of the wrist Thickening of the ankles
R. bowlegs   L. knock-knees
Progressing   stage  osseous change ,[object Object],[object Object],[object Object],[object Object]
kyphosis  & scoliosis
Progressing stage ,[object Object],[object Object],[object Object],[object Object]
Clinical manifestations  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Progressing   stage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Progressing stage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upper limp Normal X rays  Rachitic metaphysis
Lower limp Normal X rays  Rachitic metaphysis
Convalescent stage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sequelae stage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sequelae stage
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnosis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Differential diagnosis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prevention
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],8~10% 40% 45~50% IONIZED   active form—  PH 、 serum P BOUND   protein  COMPLEXED
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Chemical Pathology
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prediposing factor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestations
Fig. Carpopedal spasm   The wrist are flexed,  the finger extended,  the thumbs adducted over the palms,  the feet extended and adducted.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestations stimulation of  motor nerves
Latent tetany ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Latent tetany ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dagnosis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Differential diagnosis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment
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