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Patient Case Question 1. Identify four significant abnormalities above for which parents may have sought medical attention fo
Patient Case Question 3. Identify seven clinical manifestations from the physical ex! nation and laboratory testing above tha

patient case 1,2,3
and lepim Patient Case Ouestion 1. Identify seven clinical manifestations that are consisten Turner syndrome. Physical Examin


PATIENT CASE History of Present Illness Mothers Communicati her 10-year-old son daydreams a lot and more than that. He ha in
N PART 8 CHROMOSOME ABNORMALITY DISOLD Lungs CTA bilater Medical Charts respiratory tract infectionate a • No major health pr
CASE STUDY 6 KUNELTE SYNDROME 299 I galy or adenopathy th no murmurs, gallops, or rubs inct and strong with no additional hea
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Answer #1

case 1.a. delayed milestone for walking

b. delayed milestone for speech

c. non demanding and shy,quite (toddlers have maximum thought of speech and reasoning )

d. difficulty in reading and writing

case 2. a encourage participation in sports and physical activity of KS(KLINEFELTER SYNDROME) Boy for muscle strength and motor skills . (b.) integral approach of parent, school teacher , counsellor and administrator to identify needs of child and measure to fulfil those. (c) encourage social opportunities and active participation in group activities to develop social skills.

case 3.a, karyotype 47 XXY (b) Lutinezing hormone is decreased (c) Follicular stimulated hormone less (d) testosterone level is decreased (e) taller at per age (f) small testicles (g) tendency of shy and anxious

case 4.patient is having mosiac form of KS , because according to karotype its 47, XXY that is randome event in cell division which results in 2 cell lines with in the body, they also have less severe symptoms.

case 5 due to insufficient testosterone and small genital organ for mosiac KS probability is 75% only.

case 6.FSH stimulates testicular growth , enhance production of androgen binding protein which is useful for sustaning sperm maturation.

case 7. it is interstitial stimulating hormone induced leydig cells to produce testosterone in males.

case 8. anterior pitutary gland secreates and circulates FSH and LH also known as gonadtrophs

case 9. yes the patient can undergo testosterone therapy because he belong to less severe form of KS, also the child is about to reach puberty if given supplemental hormone the patient might be able to maintain FHS, LS and androgen hormones and may lead to sub normal growth.

turner syndrome

case 1. (a) middle ear infection (b) high blood pressure (c) racing pulse (d) strong peripheral pulse (e) attention deficit (f) decresed LH, FSH level (f) decreased tendon reflex

case 2. hypertension is major vital sign , person with turner syndrome usually present with heart vascular problems along with kidney problems hence may lead to high blood pressure.

case 3. according to body mass index the patient weight is in over weight category is 28.1, also weight gain is common problem in patients with turner syndrome.

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