turner's syndrome

Author: ctjuliana / Labels:

yuhuuu~ hectic week before entitle as PRHO (pre registered house officer) kononnye. tp seriously penat gile gile gile punye. cuak tak yah cakap lah kan. setiap kali ward round jantung ni rase berdegup x tentu arah jadinye. ape mau buat? bersusah susah dahulu, bersenang kemudian loh. kene marah puas2 dulu, tapi nnti mase dah keje pon kne marah gak. hurmm. wah, dis week i learn so many things in the ward, the best is second time tengok turner syndrome patient (Dahla patient ni mengaku selalu kene panggil untuk professional exam, so lagi la semangat ingat muke patient nih) hehe.

so revising myself, turner syndrome punye clinical features:

- webbed neck
- micrognathia
- low set ear
- low hair line
- shield shape chest
- wide spread nipple
- turned in elbow (cubitus valgus)
- frog like fingers
- spoon shape nail
- edema of the extrimities
- v shape waist to hip
- short stature (penting!!)
- delay puberty

patient tu siap aja format exam lagi tuh!big grin

so firstly, when examiner ask "what information you need to know about the patient?"

so, the appropriate answer is "the age of the patient"

from that information and thorough inspection we can guess so many differential. huhu.

next, examiner ask to do general examination and describe.

so, startlah buat general examination! watch out for every signs of dysmorphic features. Open our eyes widely!!

after examine, present nicely in a systematic way! from head to toe!

after that, examiner will ask about provisional diagnosis. Stay alert and concious, relate all the features together. make a relavant decision winking

the next question would be" what you expect the problems that patient might have?"

- heart problem (mostly coarctation of aorta)
- retarded growth
- poor breast and ovaries development
- ammenorhea
- infertile
- learning difficulties

Next, " if you a medical officer what would you plan for her?"

- surgery (congenital heart disease)
- growth hormone
- hormone replacement therapy

okeyh, tamat dah! happy


izzudin hafiz said...

ape differential diagnosis untuk turner wei?

ctjuliana said...

hurm, ade rse x bnyk sgt differentialnye, sbb turner nye features cam direct jek. klo ade pon noonan syndrome kot eh..noonan pon short stature..

:)) ;)) ;;) :D ;) :p :(( :) :( :X =(( :-o :-/ :-* :| 8-} :)] ~x( :-t b-( :-L x( =))

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