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What is A child presented with decreased S.Calcium, increased S.Phosphorus and decreased urinary calcium and phosphorus. These are seen in which condition? and explain in detail?
Decreased sr. Calcium and increased S . phosphorus and decreased urinary phosphate and calcium excretion occurs in chronic renal failure . At first with the reduction of renal function phosphate balance is initially maintained by increased excretion from normal nephrons . However when gfr falls <25 % blood phosphate level rises and urinary phosphate decreased. Ref : Ghai pediatrics eighth edition pg no 495 - 496