patient reported for bad breathe...age 12yrs...what could b the diagnosis for physical retardation....any syndrome associated?? wht would be the treatment plan...is it turners syndrome??? expertise to answer

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Rule out hypothyroidism too

Dx : METOBIC SYNDROME. KARYOTYPING TO R/O TURNER'S SYNDROME.

May be. Because of xerostomia

ENT problems may be check ed

Family history needed before going to any conclusion for growth retardation. for bad breath problem ask patient if she have been suffering from cold for long or not.howz patient's oral hygiene?seems good from picture though

Yes To r/o Turners syndrome Refer to pediatrician /endocrinologist

Not looking TURNER more towards down syndrome, HIGH arch palate, SADDLE GAP,no shield chest, No weebed neck, needs additional details like SMR, anthropometry, UL:LS RATIO, BONE AGE

Hi does she has scoliosis.. ??

Following details are needed 1. Weight 2. Height and their percentiles 3. Body proportions 4. Any dysmorphism 5SMR 6. Any intellectual challenge 7. Bone age

Refer to pediatrician

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