L20 - Puberty Physiology

Question 1

df of puberty
what does it involve - physical change

what are the endocrine changes in puberty

Question 2

TESTES

what do they produce and under what control

Question 3

OVARIAN CYCLE

what are the phases of it and how do the hormones change

Question 4

MENARCHE

what is the age of menarche related to
what is the mean age

ADRENARCHE
what is it

Question 5

chronilogical order for pubertal changes in boys and gurls

ages and times of happening

Answer 5

GIRLS
growth spurt, breasts, pubic and axillary hair, menarche

BOYS
test vol then penile length then pubic hair then growth spurt then axillary / facial hair then deep voice

10.9 girls start, 11.2 boys start

Question 6

puberty disorders

what ages

Answer 6

early - G under 8, B under 9

delayed over 14 years

Question 7

PRECOCIOUS PUBERTY

what are the two types and how do they differ
concerns
what is hypothalamic hamartoma
how to treat

what are the different ways in which pseudo-precocious puberty happens

Answer 7

gonadotrophom - central and peripheral

treat central
long acting LHRH analog therapy
—-

CAH / adrenal / ovarian / leydig cell tumour

Question 8

DELAYED PUBERTY

concerns
what are some causes
what are the signs of them
hwo to treat

Answer 8

klinefelters ----
learn diff
tall
androgen def
azoospermia
microgenitalia
lifelong T rep therapy

turner syndrome—
short, no puberty, ear ingectiond, wide nipples, high LH and FSH, neck webbing, aorta coraction, kidney horseshow
TREAR - GH therapy, pubertal inductiona nd ongoing HRT, monitoring

gonadotrophin deficiency—
no smell sensation, stim tests didnt work
lifelong T therapy