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Challenging Case

Discussion in 'Spot Diagnosis' started by neo_star, Feb 6, 2013.

  1. neo_star

    neo_star Moderator

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  2. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Turner syndrome.
     

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  3. neo_star

    neo_star Moderator

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    Answer : Turner's syndrome

    Intepretation - Retarded grotwh, inattentivity and repeated ear infections although non-specific are also imp. manifestations in Turner's syndrome patients. The inattentivity is due to ADHD in some Turner's syndrome patients.

    High BP is secondary to Coarctation of aorta in Turner's syndrome patients.

    Obesity can be secondary to Hypothyroidism.

    Puffy feet at birth indicate lymphedema of feet, again one of the defining features of Turner's.

    Once u hav a suspicion, it's imp. to look for other abnormalities to giv the Turner's patient the best shot at life...in our case, the investigations led to Coarstation of aorta and horse shoe kidneys.


    [​IMG]


    Credit to E M Mike ( once again ) for pinning the diagnosis.


    (Y)
     

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