Adolescent Flashcards
anorexia diagnosis
- distorted body perception
- weight 15% below expected
- fear of gaining weight
- absence of 3 consecutive menstrual cycles
weight % with anorexia that indicates admission
<75% of ideal body weight
SMR 1 male
no pubic hair, testicular size <2.5 mL
SMR 2 male
fine pubic hair, increased testicular size and texturized scrotum
SMR 3 male
coarse and curly pubic hair, increased phallus size, increased testicular size
SMR 5 male
pubic hair to inner thigh
SMR 2 female
hair along labia, small breast buds with glandular tissue
SMR 3 female
coarse and curly hair, breast tissue extensions beyond areola
SMR 4 female
denser hair, enlarged areola and papilla forms secondary mound
SMR 5 female
hair to inner thigh, no separation between areola and breast of the breast
on average menses occurs when
2 years after thelarche (12 to 13)
peak height velocity in girls
before menarche (SMR 3 or 4)
after menarche girls are within ___ of adult height
4 cm (2 inches)
menstruation longer than ___ is abnormal
10 days
OCPs decrease risk of
ovarian cysts, endometrial and ovarian cancers, colorectal cancer and osteoporosis
absolute contraindications to OCPs
migraine with aura, breast cancer, uncontrolled HTN, liver disease, DVT, PE, factor V Leiden mutation
primary amenorrhea definition
no period by 15 or 3 years after thelarche
normal breast development without pubic hair or menstruation
androgen insensitivity syndrome
breast budding, no pubic hair and no period in 16 yr old
turner syndrome
secondary amenorrhea definiton
3 months of amenorrhea after onset of menarche
female athlete triad
- amenorrhea
- osteoporosis
- disordered eating
lab findings in PCOS
LH:FSH ratio >2.5 and elevated androgen levels
anti androgen medication used in PCOS
spironolactone
lab findings in exercise induced amenorrhea
low serum estradiol (E2) levels –> increased risk of osteoporosis
