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PG Quiz
HYPOPHOSPHATEMIC RICKETS/OSTEOMALACIA INDIAN REGISTRY
Contributor Details
Name
*
Institute/Hospital
*
Email
*
Email OTP
*
Mobile
*
Patient Details
Name
*
Age
*
Gender
*
--Select--
Male
Female
Others
Education
Occupation
State
Address
Presenting Complaints
*
Bone Pain
Short stature
Lower limb deformity
Recurrent Fractures
Muscle weakness/ Proximal Myopathy
Difficulty in walking / Gait abnormalities
Dental Abscess
Enthesopathy
Age at presentation / Symptomatic since in years
Birth History
Consanguinity
--Select--
Yes
No
Previous Death in utero in family
--Select--
Yes
No
Clinical Examination
Height at presentation in cm
Weight in kg
Short Stature
--Select--
Yes
No
Lower Incisor loss
--Select--
Yes
No
Upper Incisor loss
--Select--
Yes
No
Beading of costo-chondral junction
--Select--
Yes
No
Wrist widening
--Select--
Yes
No
Pectus Excavatum
--Select--
Yes
No
Bowed Leg / Knock knee / Genu Valgum
--Select--
Yes
No
Genu Varum
--Select--
Yes
No
Waddling gait
--Select--
Yes
No
Deafness
--Select--
Yes
No
Biochemical Investigations
Urea in mg/dl
Creatinine (mg/dl)
Calcium (mg/dl)
*
Phosphate (mg/dl)
*
PTH (mg/dl)
*
25 hydroxy vitamin D in ng/ml
*
Alkaline phosphatase in IU/L
FGF 23 level (RU/ml or PG/ml)
24 hours urinary ca in mg/24 hrs
*
24 hours urinary phosphorus in mg/24 hrs
*
24 hours urinary creatinine in mg/24 hrs
*
TMP/GFR
*
1,25 (OH)2 Vitamin D in ng/ml
Skeletal Survey
Looser’s Zone /Pseudo fracture site
*
Left Forearm
Right Forearm
Right Wrist
Left Wrist
Left Femur
Right Leg
Left Leg
Pelvis
Nil
Enthesopathy
*
Left Forearm
Right Forearm
Right Wrist
Left Wrist
Left Femur
Right Leg
Left Leg
Pelvis
Nil
Cupping/Splaying/Fraying
*
Right Wrist
Left Wrist
Right Knee
Left Knee
Nil
X-Ray / Skeletal Image
Skeletal Image1(Jpeg/PDF)
*
Skeletal Image2(Jpeg/PDF)
Skeletal Image3(Jpeg/PDF)
Skeletal Image4(Jpeg/PDF)
Pet Scan
68 Ga DOTATATE/ DOTANOC Scan
68 Ga DOTATATE/ DOTANOC Scan – Attach Report
Attach Genetic Report (Jpeg/PDF)
USG KUB – Nephrocalcinosis
--Select--
yes
no
Final Diagnosis
--Select--
Sporadic
X-linked
Autosomal dominant
Autosomal recessive
HHRH
Treatment Received
Phosphate supplement
Calcitriol
Cholecalciferol
Surgical Details
Complications
Nephrocalcinosis
--Select--
yes
no
Renal damage
--Select--
yes
no
Fracture
--Select--
yes
no
Hyperparathyroidism
--Select--
yes
no
Any association
Fibrous Dysplasis
yes
no
Mccune Albright Syndrome
yes
no
