A 30 years female has lowr serum calcium and phosphate with elevated parathoramone. Diagnosis is -
Vitamin D deficiency
Primary hyperparathyroidism
Osteoporosis
Paget's diseases
Ans. is 'a' i.e., Vitamin D deficiency o Vitamine D deficiency will have: -Low calciumLow phosphateHigh alkaline phosphataseHigh parathormone level (secondary hyperparathyroidism)About other optionso In primary hyperparathyroidism : -High calciumLow phosphateHigh alkaline phosphataseHigh parathormone levelo In osteoporosis all these parameters are normal.o In Paget's disease calcium and phosphate levels are normal. Serum alkaline phosphatase is raised.
Metabolic Disorders Leading to Osteosclerosis