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)

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Pediatric
Pediatric
- Keywords:: Step 3, Medicine
Social
Congenital syndromes
- Turner syndrome
HEENT
- acute mastoiditis
- cranial hematomas
Cardiology
- congenital heart disease
GI
Renal
- [[nephrot
Mitral Valve Prolapse

mitral valve prolapse

Mitral prolapse occurs when excess mitral valve leaflet tissue or myxomatous degeneration of valve components causes the mitral valve leaflets to balloon into the left atrium during systole.

Anxiety and panic disorders have been associated with mitral valve prolapse.

Myxomatous degeneration is an increase in spongiosa (composed of dermatan sulfate) and a decrease in fibrosa (which has more tensile strength) which results i
Secondary HTN

Secondary Hypertension

Causes

Often these patients have a history of hypertension refractory to the maximal dosage of several drugs.

Renal artery stenosis is more common in female patients less than 25 years of age (fibromuscular dysplasia) and in patients over the age of 50 (atherosclerosis).

The presence of a **persistent abdominal bruit that lateralize