Discusión entre pares / 2 years old male with bilateral Geno vars ca p and alkaline phosphates within normal

Orthopaedic consultation room 

Osama Farouk Abdulaziz

2 years old male with bilateral Geno vars ca p and alkaline phosphates within normal

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  Ahmed El Khashab

  عيد التحليل

  1 de septiembre a la(s) 10:18 · Me gusta · 2
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  Mohamed Adel Abdel-Razik Any abnormal facial character or spine deformity ?

  1 de septiembre a la(s) 10:34 · Me gusta · 2
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  Ahmed Saad Active rickets is accompanied always with normal serum calcium phosphorus and alkaline phosphatase also there is cupping and frying in X ray exclude vitamin D resistant rickets and start treatment

  1 de septiembre a la(s) 10:43 · Me gusta · 6
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  Eslam Khalaf Seems racketic

  1 de septiembre a la(s) 11:25 · Me gusta · 1
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  Hossam Abubeih Active rickets for med ttt 3 months then revise x-rays. Devarol amp(3) one im in/3 weeks, Decal B 12 syrup tds for 3 months + food rich in calcium as dairy products and eggs

  1 de septiembre a la(s) 11:32 · Me gusta · 2
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  Tamer Ahmed El-Sobky

  حبيبي اسامة السلام عليكم اولا وحشتني جدا لعلك بخير انت و الابناء و سلامي الخاص لايمن و الوالد و الاهل الكرام

  1 de septiembre a la(s) 11:43 · Me gusta · 1
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  د-عبد المنعم جمعه Dr Hossam Abubeih +Exposure to sunlight

  1 de septiembre a la(s) 11:45 · Me gusta · 1
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  Tamer Ahmed El-Sobky I want to draw everybody's attention to an important issue in such cases. Resding the focused history &Looking at the xray of this patient I suggest there are (Two pathologies) we occasionally see. First the patient seems (rackitic) in healing phase. Second the patient is provisinally having (Blount's disease) also. There absolutely nothing against coexistence of both disorders and we see this in practice

  1 de septiembre a la(s) 11:54 · Me gusta · 8
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  Tamer Ahmed El-Sobky plan: Repeat the bone profile.
  Measure the MDA -metaphyseal diaphyseal angle of proximal tibia with xrays in neutral rotation. If >16ْ than this definitely infantile Blount. In either situation we treat rickets and F.U. Blount till age 3 years. اشكركم لاتاحة لي الفرصة للمشاركة

  1 de septiembre a la(s) 11:59 · Me gusta · 10
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  Tamer Ahmed El-Sobky Besides rackitic changes notice the excessive sloping and fragmentation of proximi-medial tibia

  1 de septiembre a la(s) 12:02 · Me gusta · 5
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  Osama Farouk Abdulaziz Tamer Ahmed El-Sobky شكرا يا تامر اخبارك ايه واحشني كتير

  1 de septiembre a la(s) 12:18 · Me gusta
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  Osama Farouk Abdulaziz Thanks for your comments and I totally agree withTamer Ahmed El-Sobky of 2 pathology Blount in my mind and I already requested new x ray knee for MDA and repeated the chemistry

  1 de septiembre a la(s) 12:26 · Me gusta
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  Ahmedknawyy Ortho I think the picture ivolves all bones 
  Rickets

  1 de septiembre a la(s) 13:00 · Me gusta
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  Ahmed Abdel Aziz Ortho healing rickets with early blount......for medical ttt and follow up till 3 yrs age

  1 de septiembre a la(s) 16:21 · Editado · Me gusta · 1
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  Ahmed S. Radwan i think this child passed a period of vit. d or and ca deficiency - mostly during the winter time when it comes during the time window after 6 month of age and till establishment of good feeding pattern usually by the age of 12 month- resulted in the d...Ver más

  1 de septiembre a la(s) 18:30 · Editado · Me gusta · 2
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  Rezk Mohamed Follow up with medication till age 2'5 years old

  2 de septiembre a la(s) 16:23 · Me gusta