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Pediatrics Musculoskeletal disorders de7aa10b

A child presented with decreased S.Calcium, increased S.Phosphorus and decreased urinary calcium and phosphorus. These are seen in which condition?

A
Renal tubular acidosis
B
Chronic Renal failure
C
Nutritional rickets
D
Coeliac rickets
High-Yield Explanation
Decreased sr. Calcium and increased S . phosphorus and decreased urinary phosphate and calcium excretion occurs in chronic renal failure . At first with the reduction of renal function phosphate balance is initially maintained by increased excretion from normal nephrons . However when gfr falls <25 % blood phosphate level rises and urinary phosphate decreased. Ref : Ghai pediatrics eighth edition pg no 495 - 496

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