Turner syndrome is characterized by three key features: short stature, ovarian failure or infertility, and physical signs including short fourth and fifth metacarpals and metatarsals. The document outlines examination points for patients with Turner syndrome, including assessing features in the hands and feet, elbows, axilla, head and neck, chest, heart, and back. It recommends measuring blood pressure during examination and assessing Tanner stage of development. Suggested investigations include echocardiogram, abdominal ultrasound, and hormonal assays of growth hormone, estrogen, and progesterone levels.

1. Turner syndrome
for MRCPCH clinical
By
Dr / Mohammed Ayad

2. Where could It be
1- CVS STATION
COA – AS
2- SHORT STATURE
3- GENERAL
4- DEVELOPMENT
5- OBESITY
6- THYROID

3. TS examination
1- hands and feet
Short 4th and 5th metacarpals and metatarsals .
2- elbows
Wide carrying angle
Offer to measure BP a there may be
hypertension
3- axilla
No puberty or started

4. 4- head and neck
•Eyes :- ptosis – cataract – squint .
•Ears :- deafness – recurrent OM
•mouth :- high arched palate
•hair :- low posterior hair line
•neck :- thyroid goitre in 30 %
•5- chest
•Shield chest
•Wide spaced nipples

5. 6- heart
Aortic stenosis
COA
7- back
Scoliosis in 10 %
At the end of my examination I would like to
1- measure BP …..
2- DO complete Tanner stage

6. Some knowledge
•Investigations needed
1- ECHO
2- US abdomen
3- hormonal assay
Hormonal TTT
1- GH …..
2- ESTROGEN
3- Progesteron

7. TS photos