The following tests should be obtained:

Physical exam:

• Blood pressure in all four limbs
• Examination for congenital hip dislocation (< 4 years old)
• Examination for scoliosis (teenager)

Blood tests:

• FSH, LH
• Karyotype
• TSH (yearly) and thyroid antibodies (every 5 years)
  • if antibodies positive, then TSH, free T4 and free T3 yearly
• Fasting blood glucose (yearly)
• BUN, Cr (yearly)
• fasting lipids (yearly)
• LFT (yearly)
• Celiac screen (every 2-4 years)

Imaging studies:

• Renal ultrasound (at diagnosis)
• Echocardiogram (at diagnosis and every 5 years)
• MRI of heart and aorta (prior to IVF)
• Bone age (prior to initiation of growth hormone)
• Bone mineral density scan (prior to initiation of estrogen therapy)

Other tests:

• Auditory testing (at diagnosis and every 5 years thereafter)

Referrals:

• Endocrinology
  • for assessment of growth and initiation of growth hormone
• Ophthalmology
  • for assessment of hyperopia and strabismus (> 1 year old)
• Orthodonty
  • for assessment of malocclusion (> 7 years old)
• Cardiology
  • for assessment of congenital heart defects

Morgan, T, Turner Syndrome:  Diagnosis and Management. Amercian Family Physician, 2007;76(3):405-410.