what's wrong with this x ray of a child ,please tell me the management for it ,what else we expect in this child ,I mean physically

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High-dose vitamin D therapy (stoss therapy) is an effective method for treating established or recalcitrant vitamin D deficiency.31,35 It involves oral or intramuscular administration of the total treatment dose of vitamin D (cholecalciferol or ergocalciferol), 300 000 IU (7500 μg) to 500 000 IU

Widening of wrist . Cupping fraying splaying of radius n ulna . Stoss therapy.

Cupping bowing of Physis... Rickets Ping pong skull Harrison sulcus Rachitic rosary Genu Valgum

Rickets,Genu vulgum,Harrison sulcus ,Richitiary rossarey

Widening and fraying of lower end of radius and ulna suggest RICKETS. Start Stoss therapy

Sir.. What is Stoss therapy?? Please elaborate Sir..
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Active rickets Look for frontal bossing Take both knee ap xrays Agree with Dr Modi on treatment

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Rickets

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Rickets Genu velgum Harrison sulcus Richitiary rossarey. Treatment Inj. Arachitol 6 lakh units stat. Syrup calcium VitD rich diet.

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Erosion of epiphysis R/O Rickets,Primary haematogenous osteomyelitis,Scurvy

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Erosion of epiphysis, widening.rickets

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