Derangements include:
- raised phosphate
- low calcium
- secondary hyperparathyroidism
- low vitamin D
- acidosis
The result on bones include:
- osteomalacia
- osteitis fibrosa cystica = hyperparathyroid bone disease
- osteoporosis
- osteosclerosis 'rugger jersey' spine
Management is:
- calcichew - to bind phosphate in the gut
- vit D analogues - eg adcal D3/calceos/calcichew = colecalciferol
On to the slightly more stimulating contrast nephropathy...
