A 18-month-old boy from rural Maharashtra presents with progressive bowing of legs, frontal bossing, and delayed fontanelle closure. Serum calcium is 7.2 mg/dL, phosphate 3.8 mg/dL, and alkaline phosphatase is markedly elevated. X-ray shows metaphyseal widening and loss of sharp metaphyseal margins. What is the most appropriate immediate next step in management?

See the options, answer & explanation

Sign in free to reveal the answer choices, the correct answer, the detailed explanation, and AI-powered insights for this question.