Dow's Lecture

Question 1

Telarche

Answer 1

Appearance of Breast tissue: 1st sign of early puberty

Question 2

Adrenarche

Answer 2

activation of the adrenal cortex = adrenal androgens
Typically before the onset of puberty
Pubic hair can come at any time compare to breast tissue

Question 3

Genetics

Answer 3

African american girls begin puberty earlier than caucasian girls

Question 4

Early Puberty in Boys

Answer 4

Testicular volume is 4 mL or more w/ prader beads

Length more than 2.5 cm

Question 5

Tanner Staging (girls)

Answer 5

1= nothing
5= Fully Mature Adult
2=Breast Bud stage!!!! enlargement of areola: little/ no Elevation of breast  and papilla
3= No separation breast contour
4=Secondary mound of areola and papila

Question 6

Tanner Staging (Boys)

Answer 6

1=Nothing
5= Adult
2= Enlargement of scrotum and testes 
3= Enlargement of penis length 1st 
4= Breadth and glans  development, darker scrotal skin

Question 7

Precocious Puberty

Answer 7

Before 8yo (girls)
Before 9yo (boys)

Question 8

Evaluation of precocious puberty

Answer 8

Evaluate by bone age