Turner's Syndrome Flashcards

1
Q

What is Turner’s syndrome due to?

A

Females only having one X chromosome -45XO

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2
Q

What is the life expectancy for Turner’s syndrome?

A

Nearly normal

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3
Q

What are the triad features of Turner’s syndrome?

A

Short stature
Webbed neck
Widely spaced nipples

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4
Q

What additional cardiac features can occur with Turner’s syndrome?

A

Bicuspid aortic valve (15%)
Coarctation of the aorta (5-10%)

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5
Q

What are the additional features of Turner’s syndrome?

A
  • primary amenorrhoea
  • cystic hygroma (often diagnosed prenatally)
  • high-arched palate
  • short fourth metacarpal
  • multiple pigmented naevi
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6
Q

What can present in neonates with Turner’s syndrome?

A

Lymphoedema- especially feet

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7
Q

What will be elevated in Turner’s syndrome?

A

Gonadotrophin (LH and FSH)

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8
Q

What is the most common renal abnormality in Turner’s syndrome?

A

Horseshoe kidney

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9
Q

What joint abnormality can occur in Turner’s syndrome?

A

Cubitus Valgus

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10
Q

What is cubitus valgus?

A

An abnormal feature of the elbow.
The arm is extended downwards with the palms facing forward, the angle of the forearm at the elbow is exaggerated, angled away from the body.

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11
Q

What is there an increased risk of with Turner’s syndrome?

A

Autoimmune diseases

Crohn’s Disease

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12
Q

What autoimmune disease is someone with Turner’s syndrome more at risk of?

A

Thyroid- Autoimmune thyroiditis (Hasimoto’s)
IBD- Crohn’s disease

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13
Q

What endocrine disease is Turner’s syndrome associated with?

A

Hypothyroidism

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14
Q

What is the aim of the management of Turner’s syndrome?

A

Reduce the symptoms

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15
Q

What is given to prevent short stature in Turner’s syndrome?

A

Growth hormone therapy

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16
Q

What does oestrogen and progesterone replacement do?

A

Establish female secondary sex characteristics
Regulate the menstrual cycle
Prevent osteoporosis

17
Q

What is a cystic hygroma?

A

Abnormal growths that usually appear on a baby’s neck or head.

18
Q

What murmur can present with a bicuspid aortic valce?

A

Ejection systolic murmur
crescendo-decrescendo murmur on the upper right sternal border which radiates to the carotids.

19
Q

What facial changes can someone with Turner’s syndrome have?

A

Low hairline
Low set ears
Webbed neck