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An Outline of What a Patient Can Expect

Women with Turner’s Syndrome must seek frequent medical attention. The University of Michigan has published an overview of what a medical appointment for a Turner’s patient would look like at the initial appointment, and the following appointments that the patient would have.  The website included a typical medical visit, a psychiatric visit, and a visit to a cardiologist. The cardiologist visit was included because of the frequencies of heart problems among Turner’s patients, and because of the dangers of heart complications.

Cardiology Appointment

At Diagnostic Appointment (for all ages):

  • Cardiology exam by an expert in congenital heart disease
  • Thorough blood pressure check
  • Image studies of heart, aortic valve, aortic arch, and pulmonary veins by echocardiogram (for infants/young girls) or MRI (for older girls/adults)

Follow Up Appointments (for all ages):

  • Remain under the care of a cardiologist for treatment and monitoring
  • Periodic imaging, as recommended
  • MRI when old enough to cooperate with the procedure

Medical Appointment

At Diagnostic Appointment (for all ages):

  • It is important for the physician that the patient is seeing to be a part of a team that has a physician with experience or specialization in each of these areas. This is necessary because of all of the different internal      conditions that happen with Turner’s Syndrome.
    • Endocrinology
    • Audiology
    • Genetics
    • Cardiology
    • Dermatology
    • Development
    • Nephrology
    • Occupational therapy
    • Ophthalmology
    • Orthopedic surgery
    • Otolaryngology
    • Psychology
    • Speech therapy
  • Cardiology exam, as outlined above
  • Kidney ultrasound
  • Have an audiologist check hearing
  • Check for scoliosis/kyphosis
  • Check growth and pubertal development
  • Depending on the age of the girl or woman at diagnosis:
    • Check for hip dislocation
    • Eye exam
    • Thyroid function test
    • Check for orthodontic problems
    • Ovarian function/hormone check
    • Blood tests for kidney and liver function, blood sugar, cholesterol, blood       counts, etc.
    • Bone density test

Follow up Appointments (tests depend on age of woman)

  • All ages
    • Ongoing cardiovascular exams, as recommended
    • Yearly blood pressure check
    • Ear/nose/throat (ENT) and audiology every 1-5 years
  • Girls aged 4-5 years
    • Check social skills
  • School age
    • Liver and thyroid yearly
    • Celiac  screen every 2-5 years
    • Dental and orthodontic as needed
  • Older girls/adults
    • Cholesterol  and blood sugar yearly
    • Liver and thyroid yearly
    • Celiac screen, when recommended
    • At appropriate age, check pubertal development and psychosocial adjustment

Psychological/Educational Appointment

At Diagnostic Appointment:

  • Teaching about the condition and how to find support groups
  • In girls diagnosed at age 4-10
    • Educational/psychosocial testing

Follow Up Appointment

  • School age
    • Educational and social progress yearly

Sources:

http://www.med.umich.edu/yourchild/topics/turners.htm

 

2 responses to “An Outline of What a Patient Can Expect

  1. maherc

    December 1, 2012 at 11:23 pm

    Another creative page. I would recommend including a works cited page where you compile all of the sources that you used in one page.

     
  2. biowikiproject

    December 5, 2012 at 12:12 pm

    I would agree with maherc that you should put all of your sources together on one page.

     

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