Turner syndrome

• related: Pediatric

After initial diagnosis, management:

• echo for cardiac defects: coarctation of the aorta, bicuspid aortic valve, mitral valve prolapse, and hypoplastic heart
• visual/hearing test
• renal US: horseshoe kidney
• TSH: hypothyroidism
• If Y chromosome mosaicism: increased association of malignancy. Streak gonads need to be removed
• increased diabetes when older
• estrogen replacement around 14. Do not give before as can fuse epiphysis
• growth hormone at puberty to reach final height
• Vitamin D therapy, oral, continuous
• Calcium, oral, continuous
• Dietary consult (Re: Turner syndrome with growth failure)
• Psychiatry consult (Re: Estimate IQ)

Links to this note

• Pediatric
  • Turner syndrome
• Secondary Hypertension
  • Aortic coarctation is more common in patients with Turner syndrome, especially on test questions.
• mitral valve prolapse
  • Connective tissue disorders such as ehlers danlos, marfan, or osteogenesis imperfecta predispose to mitral valve prolapse. Turner syndrome