Clinical case 3

1.Name(Required.)
2.Email (use your work email)(Required.)
INSTRUCTIONS.

Read Case 3: A 16-year-old girl with delayed puberty.

A mother brought her daughter because she is concerned that her daughter has not yet gone through puberty. The daughter's developmental milestones were normal and she is doing well in school. Her growth was normal until her height fell below the tenth percentile at about 6 years of age. She had had numerous ear infections.

Her father and mother are 185 and 165 cm in height, respectively. There is no family history of short stature or delayed puberty.

On exam, she was 150 cm tall and weighed 40 kg. Her nipples were widely spaced. Her hearing was somewhat impaired but her speech had normal character.
A. Start SimulConsult. Log into SimulConsult (or go to the Start tab on the black navigation bar, clear patient data to start another case).

B. Enter initial data. On the Start screen of the software, begin by adding age (be sure to add the units) and sex.
C. See the SimulConsult resource for head circumference, weight, and stature calculations to assess stature and weight.

https://< wbr>simulconsult.com/resources/< wbr>measurement.html?type=height
3.Choose diagnoses. Record your impression of the differential diagnosis (using or ignoring the software results as you deem appropriate) by ranking at least 1 and up to 3 diagnoses from the list provided. You get the most credit for having the correct diagnosis as rank #1, but you also get some credit for having it in other positions.  (One selection allowed per column)(Required.)
Rank 1
Rank 2
Rank 3
Alström syndrome
Androgen insensitivity syndrome
Cardiofaciocutaneous (CFC) syndrome
CHARGE syndrome
Cohen syndrome
Costello syndrome
Neurooculocardiogenitourinary syndrome
Neurofibromatosis 1 (NF1)
Noonan syndrome
Noonan syndrome-like disorder with loose anagen hair
Prader-Willi syndrome
Smith-Magenis syndrome
Trichorhinophalangeal syndrome
Trisomy 21 (Down syndrome)
Turner syndrome (45 X)
Watson syndrome
Wolfram syndrome
Woodhouse-Sakatin syndrome
4.Go to the Reports on the SimulConsult black navigation bar. Select Patient Summary PDF file. Generate the PDF using the button. Save the file to your desktop. Upload the file.(Required.)
5.Any comments?