In India, various surveys showed that over 70 % of preschool children, pregnant women and adolescent girls are anaemic. Inspite of various government run nutritional supplements programe we are having very high prevalence of Anemia.

Vitamin D Deficiency has become prevalent entity know. It is associated with various morbidities like osteoporosis, hip fracture, femur fracture. Early manifestation include pain in weight-bearing joints, back, thighs and/or calves, difficulty in walking and/or climbing stairs, or running and muscle cramps.

Increased vascular permeability, decerse plasma oncotic pressure & lymphatic obstructions are common causes.

Vitamin A deficiency is the commonest cause of preventable childhood blindness in developing countries. Severity of xerophthalmia is directly proportional to the severity of malnutrition.

Congenital Choanal Atresia is the developmental failure of the posterior choanae to communicate with the nasopharynx. Bilateral choanal atresia is an otolaryngology emergency as neonates are obligate nose breathers. Associated malformations are common.We report a case of Congenital Bilateral Membranous Choanal Atresia whose evaluation revealed associated esophageal atresia. Awareness of such associated anomalies is a must for prompt management of such babies.