PEDIATRICS TOP-UPS: INVESTIGATING HYPOCALCEMIA IN LEVELS

INVESTIGATING HYPOCALCEMIA IN LEVELS

LEVEL 1:

1. SERUM PHOSPHATE, SERUM ALKALINE PHOSPHATE
2. LIVER FUNCTION TESTS
3. RENAL FUNCTION TESTS (BLOOD UREA, SERUM CREATININE)
4. X-RAYS WRIST (RICKETS/ALBRIGHTS HEREDITARY OSTEODYSTROPHY)

LEVEL 2:

1. PTH LEVEL (RANGE 12-72 ng/ml) (HIGH PHOSPHATE AND NORMAL RENAL FUNCTIONS)
2. MAGNESIUM LEVEL ( NORMAL OR LOW PHOSPHATE LEVELS)
3. MALABSORPTION STUDIES (FECAL FATS, TTG ETC)
4. 1, 25 HYDROXY D3 (LOW IN VDDR 1, HIGH IN VDDR II)
5. IN NEONATES, MOTHER X-RAYS FOR OSTEOMALACIA AND HYPERPARATHYROIDISM.