Delayed Puberty E Flashcards

1
Q

delayed puberty

A

no puberty development in children

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2
Q

what is the age for investigation in boys and girls

A

boy - 15

girl - 14

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3
Q

investigations

A

blood

x-ray of wrists

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4
Q

why is the x-ray of wrists useful

A

can examine the epiphyseal plates and see if they have fused or not

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5
Q

what are other causes

A

low gonadotrophin levels:
pituitary disorder
hypothyroid

high gonadotrophin levels but not getting a response:
adrenal hyperplasia
congenital syndromes

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6
Q

what the first sign of puberty in a boy and a girl

A

boy - testicular growth

girl - budding of breast

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