Turner syndromefor MRCPCH clinical

ByDr / Mohammed Ayad

Where could It be

1 -CVS STATIONCOA – AS

2 -SHORT STATURE3 -GENERAL

4 -DEVELOPMENT5 -OBESITY6 -THYROID

TS examination

1 -hands and feetShort 4th and 5th metacarpals and metatarsals.

2 -elbowsWide carrying angleOffer to measure BP a there may be hypertension

3 -axillaNo puberty or started

4 -head and neck•Eyes :- ptosis – cataract – squint. •Ears :- deafness – recurrent OM

•mouth :- high arched palate•hair :- low posterior hair line •neck :- thyroid goitre in 30%

•5 -chest •Shield chest

•Wide spaced nipples

6 -heartAortic stenosisCOA

7 -backScoliosis in 10%

At the end of my examination I would like to1 -measure BP ..…

2 -DO complete Tanner stage

Some knowledge

•Investigations needed1 -ECHO

2 -US abdomen3 -hormonal assay

Hormonal TTT1 -GH ..…

2 -ESTROGEN 3 -Progesteron

TS photos