DSD Flashcards

1
Q

CAH - initial assessment

A
Glucose, renal function
Arterial blood gas/serum pH 
Cortisol 
ACTH 
17-OHP 
Pelvic ultrasonography 
Karyotype
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2
Q

mixed gonadal dysgenesis

A

Most commonly result of 45X/46XY mosaicism
Can have inguinal testes, with limited endocrine function, on one side with dysgenetic streak gonad and persistent Mullerian derivatives on other side
External genitalia variable
Predominantly female

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3
Q

enzymatic vs chromosomal abnormalities depending on gonadal symmetry

A

if gonads symmetrically there or not there then likely enzymatic problem
if assymmetrical then likely chromosomal issue

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