Instruction
History: Kyrie was adopted when he was 2 from Ghana, Africa and now lives with his loving adoptive parents, John and Mary, in Charleston, South Carolina. His early childhood in Ghana involved a fairly poor lifestyle and every day did not come with the promise of 3 full meals. The orphanage he lived in was overcrowded and fortunately enough Kyrie was one of the few without a threatening disease who could leave the country. For his age and gender, he is a couple inches under the average height and has a couple prominent features that are noticeable when he walks. His bow-shaped legs limit him from keeping up with his friends when they play and his sternum projects outward in a way that sometimes affects his balance. He is also known to have cases of severe muscle spasms all over his body, also known as tetany, but was told by his family doctor that he experienced these ‘muscle twitches’ when he was dehydrated and it was nothing life-threatening.
Clinic Visit: Kyrie’s parents have brought him in to see you because he has just broken his fourth bone in the past 2 years. He broke his radius and fractured his ulna by falling off a swing but his parents are concerned that there may be something further wrong with his health because he seems to be prone to broken bones. What are some concerns of Kyrie’s history and health that concern you most? What are some tests that you would like to perform?
Test Results: You chose to perform blood work test and the results come back and you discover that Kyrie has low levels of vitamin D and calcium. What would you predict as results of these tests?
Is there a correlation between the deficiency of vitamin D and calcium? Which one is more harmful to the body? How are these two organic compounds related to bone matter. Are there methods to treat/prevent it?