A patient Shweta with raised serum alkaline phosphatase and raised parathormone level along with low calcium and low phosphate level is likely to have
High-Yield Explanation
Answer is D (Vitamin D deficiency) Serum Ca Serum phosphorus Alkaline phosphatase PTH * Osteomalacia (Rickets) (|iNit. D) | | | | * Primary hyperparathyroidism bone disease | | , | | * Bone disease in renal failure with secondary hyperparathyroidism N/| | | | * Lytic bone neoplasms N/| N/| N/| N * Osteoporosis N N N N * Paget's disease N N | N