Paediatric- History & Physical examination of Monosomy: Turner syndrome (45, X)

Paediatric- History & Physical examination of Monosomy: Turner syndrome (45, X)Created OnApril 22, 2020Last Updated OnApril 22, 2020byadmin You are here: Main Clinical Examination Paediatric- History & Physical examination of Monosomy: Turner syndrome (45, X) < All Topics Table of Contents History taking: Ask about patient’s information – name, age, gender, and etc Ask about chief complaints, commonly presenting with: Issues of puberty and fertility in older dolescents and adults Absence of menstruation Poor growth Ask about history of presenting illness (based on the chief complaints) Ask about symptoms due to complications of Turner’s syndromes Symptoms of heart failure due to congenital heart defects Shortness of breath Fainting spells or syncope Oedema Reduced effort tolerance Lethargy and fatigability Symptoms of thyroid disorders Hypothyroid – fatigue, constipation, cold intolerance, mood swing, easy weight gain, oedema hyperthyroid – heat intolerance, excessive sweating, weight loss, leg swelling (pretibial myxoedema) Symptoms of chronic kidney diseases – reduced or increased urine output, oedema, skin itchiness, muscle cramps, lethargy Symptoms of Turner’s hepatitis – abdominal pain, jaundice, pruritus Symptoms of hypertensive urgency or emergency – headache, chest pain, neurological deficits, visual disturbance Ask about antenatal and birth history Ask about abnormal antenatal ultrasound findings such as nuchal cystic hygroma, horseshoe kidney, left-sided cardiac anomalies or non-immune foetal hydrops Ask about other prenatal testing done with abnormal results (amniocentesis or chorionic villous sampling) Ask about swollen hands and feet due to lymphedema upon birth Ask about secondary sexual characteristic development ask about breast development (failure of breast development if ovarian failure occurs before puberty) ask about pubic hair growth (adrenarche – usually occurs at normal age) Ask about menstrual history for adolescent patient failure to achieve menarche or absence of menstruation due to ovarian failure Ask about past medical/surgical/drug history Ask about any underlying medical illnesses Ask about any medical or surgical interventions provided, such as growth hormone and oestrogen replacement therapies, surgical correction of congenital heart defects Ask about drug allergies Ask about social history assess family support assess social interaction with others including peers and family members (patients with Turner syndrome have poor social skills) Physical examination: General examination: look for characteristic dysmorphism Craniofacial features: Low-set, mildly malformed ears Down sloping eyes Ptosis or hooded eyes Low posterior hairline Flat nasal bridge Epicanthal folds High arched palate with or without malocclusion or dental crowding Neck...

Continue reading

Please Login/Register to read full article.