021715 female abnormal puberty Flashcards
1
Q
presence of breasts or pubic hair before what age warrants thorough evaluation?
A
six
2
Q
if pt before 8 years old has breasts and pubic hair development, what should you do?
A
history, PE, and bone age as minimum evaluation
3
Q
first stage of puberty in girls
A
initiation of growth spurt
4
Q
absence of secondary sex characteristics in what age in girls warrants evalu?
A
14
5
Q
absence of menstruation by what age in the presence of secondary sex characteristics warrants eval?
A
16
6
Q
what is essential for normal menstruation?
A
outflow tract
functioning ovaries
functioning hypothalamic pituitary axis
7
Q
what could a chromosal karyotype assess for in high FSH and low estradiol situation?
A
Turner syndrome
8
Q
diagnosing amenorrhea
A
see slide 7
