Paediatrics Endocrine Flashcards

1
Q

Measuring Head Circumference is routine in?

A

Children under 2

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2
Q

Technique for measuring head circumference (1)

A

Tape around forehead and occipital prominence to get maximum circumference

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3
Q

What is the Stages called for Staging of Puberty?

A

Tanner Method

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4
Q

Axillary Hair is graded on a 1 to what score?

A

1-3

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5
Q

What is used to check Testicular Maturation?

A

Prader Orchidometer

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6
Q

Normal Growth is mapped according to?

A

Infantile
Childhood
Pubertal

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7
Q

Most important breast budding stage?

A

Tanner Stage B2 in Girl

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8
Q

Most important testicular enlargement stage in boy?

A

Tanner Stage G2 3-4ml

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9
Q

Short Stature Common causes? (3)

A

Familial
Constituional
SGA/IUGR

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10
Q

Pathological causes of Short Stature? (7)

A
Steroids
Coeliac
IBD
JCA
Hypothyroid
Turner
Prader Willi
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11
Q

When is early puberty in a boy?

A

Below 9

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12
Q

When is delayed puberty in boys?

A

> 14

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13
Q

When is early puberty in girls?

A

<8

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14
Q

When is delayed puberty in girls

A

> 13

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15
Q

Gonadal Dysgenesis causes of Delayed Puberty (2)

A

Turner 45x

Kleinfelter 47XXY

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16
Q

Chronic disease cause of delayed puberty?

A

Crohns

Asthma

17
Q

Impaired HPG Axis causes of delayed puberty?

A

Septo-Optic Dysplasia
Cranipharyngioma
Kallman Syndrome

18
Q

Peripheral causes of delayed puberty?

A

Cryptorchidism

Testicular irradiation

19
Q

Diagnosis Tests for Central Precocious Puberty in Girls? (1)

A

Pituitary Imaging

20
Q

Treatment for Central Precocious Puberty in Girls?

A

gnRH agonist

21
Q

Features of Precocious Pseudopuberty (4)

A

Gonadotrophin Independent (Low LH and FSH)
Abnormal Sex Steroid Hormone Secretion
Secondary Sexual Characteristics

22
Q

Ambigious Genitalia Management (4)

A

Do not guess Sex
MDT
Karotype
Exclude Congenital Adrenal Hyperplasia

23
Q

When is there a risk of adrenal crisis in newborns?

A

First 2 weeks of life

24
Q

Congenital Hypothyrodism happens how often in paediatrics?

A

1 in 4000 Births

25
Q

Causes of Congenital Hypothyrodism? (2)

A

Athyreosis/Hypoplastic/Ectopic

Dyshormonogenic

26
Q

Acquired Hypothyrodism in Paediatrics most common cause

A

Autoimmune Hashimoto Thyroiditis

27
Q

Childhood issues to query Acquired Hypothyrodism? (3)

A

Lack of Height Gain
Pubertal delay
Poor school performance

28
Q

Definition of Overweight

A

BMI 85th Centile or SD >1.04

29
Q

Definition of Obesity

A

BMI 97.5th Centile or SD >2

30
Q

Which drugs can lead to obesity? (4)

A

Insulin
Steroid
Antithyroid Drugs
Sodium Valproate

31
Q

Which conditions can lead to obesity? (4)

A

Prader Willi
Laurence Moon Biedl
Pseudohyoparathyroidism Type 1
Downs Syndrome