2025 – PAGE 81 – ENDOCRINOLOGY

(DOUBLE TAKE) RICKETS OF PREMATURITY (AKA OSTEOPENIA OF PREMATURITY)

Premature babies have a high Vitamin D, calcium, and phosphorus requirement. Failure to administer these may result in Rickets of Prematurity. Treat with Vitamin D + Calcium + Phosphorus; you have to give all three, as Vitamin D alone is insufficient.

(DOUBLE TAKE) LIVER DYSFUNCTION

Liver dysfunction can result in decreased bile salts in the gut → Vitamin D absorption issues → Vitamin D deficiency.

ADRENAL DISORDERS

(DOUBLE TAKE) NORMAL ADRENAL STEROID SYNTHESIS PATHWAY