Screening Infants and Children at Risk for Fractures Clinical Pathway — Inpatient
Screening Infants and Children at Risk for Fractures Clinical Pathway — Inpatient
Infant Secondary Screening for Metabolic Bone Disease (MBD)
Lab Tests | Abnormal Screen Results |
---|---|
Alkaline Phosphatase (ALP) | Discuss or evaluate origin of elevated ALP Likely of bone origin |
Parathyroid Hormone |
|
25 OH Vitamin D | < 20 ng/mL |
X-ray Findings as Available | Demineralization, osteopenia, fracture |
Urine Calcium, Creatinine, and Phosphorus
Send serum calcium, creatinine, and phos within
24 hours of urine |
Calculate TRP and Urine Calcium to Creatinine Ratio |