6. PATIENT MEDICAL HISTORY
NAME Master Jikir Hossain
AGE 9
GENDER Male
LOCATION Nator
forward protrusion of
both eyes
swelling of left eyelid incomplete closure of
both eyelids
DURATION :7 months
Gradually increasing in nature
Redness,
Photophobia ,
Gritty sensation
17. INVESTIGATIONS:
CBC with ESR
BT,CT
Fasting blood sugar
SGPT,TSH
S. creatinine
S. electrolytes
Chest x-ray(P/A view) and x-ray
wrists and ankle joints
Ct scan of brain
Colour Fundus
photography(ocular)
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18. Radiographs of both hands and feet show soft tissue syndactyly of
second, third, fourth and fifth digits of the hands and all the toes of the
feet.
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19. Ct scan of brain revealed complete loss of interdigitation in coronal
and partial loss on left lambdoid suture, protrusion of both eyeballs,
abnormal shape of head, decreased nasal bridge and smaller orbital
cavity . 19
21. WHY, THE APERT SYNDROME APPLIES TO MY CASE?
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Turribrachycephaly,
Proptosis,
Hypertelorism,
Exorbitism,
Mental retardation,
Delayed milestones,
Mid-face hypoplasia,
symmetric syndactyly
of hands and feet.
22. TAKE HOME MESSEGE:
Apert Syndrome cannot be
cured.
Ophthalmologists treating these
patients should strive for early
identification and appropriate
care of amblyopia, prompt
decompressive surgery prior to
the onset of optic atrophy, and
protection of cornea.
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