Patient: Laurie Sheens Age: 25 Gender: Female Height: 4’7” Weight: 160 lbs. Vital Signs: HR: 18 BPM. Respiratory rate: 72 BPM. Blood Pressure: 130/90. Temperature: 98.7 F. Chief complaint Her right side of mouth is hurting. Medical Alert Turner Syndrome. Name of Syndrome:Turner Syndrome monosomy X TS Turner's Syndrome Ullrich-Turner syndrome 45,X Cause of Syndrome - Medical History (if applicable) It is a chromosome condition that is found in females. There is partial or complete deletion of one of the X chromosomes.
Orofacial Clinical Features They are going to have a webbed neck and a low hair line on the necks. There is lymphoedema and skeletal abnormalities. There are low set ears, visual impairments, hearing loss or ear infections. Age/race/sex predilections and Systemic Clinical Features: It is only in females and it is evident by the age of 5. They would not undergo puberty unless they are treated with estrogen hormones. They would start giving the hormones and the age of There is a smaller percent of women that would have normal ovarian functions through adulthood. The systemic features is that there is no function of the ovaries unless given estrogen. One third to one half have a heart defect. Radiographic Features of this Syndrome They would do an MRI to see if there is this condition. There will be skeletal abnormalities. The bones look deformed. In the ultrasound findings there is increased nuchal thickness and translucency, cystic hygroma, coarctation of the aorta, bicuspid aortic valves, horseshoe kidneys, and mild IUGR. After childhood there could be findings of scoliosis, short 4 th metacarpal and narrowing scapho-lunate angles and decreased carpal angles, abnormal medial femoral condyles and deformity of elbow, and a webbed neck with a short statures. The pelvic ultrasound shows streaky uterus and ovaries.
Special considerations in Treatment of this patient? How is it Diagnosed? How common is it? Is it a horse or zebra? The considerations of this treatment is that there is going to be eruption of teeth earlier but they are going to keep their teeth 2- 5 years longer than a normal child would. Their palate is going to be more narrow so they might have to have an appliance to widen the arch and then to continue on with orthodontics. The syndrome is diagnosed at any stage before or after birth. IT had to have a chromosome analysis during prenatal times to see if the child has this. The tests that are performed are a blood hormone level by utilizing hormones or follicle stimulating hormones, echocardiograms, karyotyping, MRI of the chest, ultrasound of the reproductive organs and kidneys, and pelvic exams. It occurs in 1 in 2500 newborns. It is common when there is a miscarriage or stillbirths. I think it is a horse because even though it is not common seen it is in miscarried or stillborns.
Pictures of Children with Turner Syndromes.
List Sources and References (This should be more than your text book!)