logging in or signing up RICKETS govind.jayan Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 3896 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: December 09, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: Hellga (49 month(s) ago) Can't open this file. Please explain: what should i do to open and view this file? All content is in xml format! Thank you. Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript RICKETS : RICKETS Govind Jayan Slide 2: vitamin D Endogenous(D3) Exogenous(D2) (cholecalciferol) (ergocalciferol) 7-dehydrocholesterol ergosterol Functions of vit D : Functions of vit D Calcium metabolism: vitamin D enhances ca absorption in the gut & renal tubules Cell differentiation: particularly of collagen & skin epithelium Immunity: important for Cell Mediated Immunity & coordination of the immune response Bone matrix:calcification Slide 5: Raised osteoblastic activity Compensatory parathyroid secretion Reduced Ca and P absorption insufficient vit D Diet sunlight Renal disorder Slide 7: TYPE 1 TYPE 2 Vit D a)Vit D deficiency Intake Absorption Sunlight exposure b)Metabolic disturb. Hepatic Renal Target cell Renal osteodystrophy Reduced Phosphates a)Renal tubule Hypo-phosphataemic rickets Lignac-Fanconi syndrome Renal tubular acidosis b)Reduced intake/absorption of phosphates CRANIOTABES : CRANIOTABES Young infants Ping-pong ball CLINICAL FEATURES BOSSING OF THE SKULL : BOSSING OF THE SKULL Frontal and parietal bones After 6 months RACHITIC ROSARY : RACHITIC ROSARY Costochondral junctions on anterior chest wall BROADENING OF ENDS OF LONG BONES : BROADENING OF ENDS OF LONG BONES 6-9 months Wrists & knees Slide 12: Wide ankles HARRISON’S SULCUS AND POTBELLY : HARRISON’S SULCUS AND POTBELLY Horizontal depression-diaphragm insertion Muscular hypotonia DEFORMITIES OF LONG BONES : DEFORMITIES OF LONG BONES Starts walking BOW-LEGS Slide 15: KNOCK-KNEES Slide 16: WINDSWEPT DEFORMITY THANK YOU : THANK YOU You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.