Vitamin D deficiency is often a silent disease. Severe vitamin D deficiency in children can present as bowing of the legs from rickets. In adults with a severe vitamin D deficiency, the examination can reveal periosteal bone pain. This is best detected using firm pressure on the sternal bone or tibia.
For more on the physical examination for vitamin D deficiency, read here.
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Cite this: Fast Five Quiz: Can You Identify and Prevent Vitamin D Insufficiency? - Medscape - Jun 04, 2014.