Paediatrics Endocrine Flashcards
Measuring Head Circumference is routine in?
Children under 2
Technique for measuring head circumference (1)
Tape around forehead and occipital prominence to get maximum circumference
What is the Stages called for Staging of Puberty?
Tanner Method
Axillary Hair is graded on a 1 to what score?
1-3
What is used to check Testicular Maturation?
Prader Orchidometer
Normal Growth is mapped according to?
Infantile
Childhood
Pubertal
Most important breast budding stage?
Tanner Stage B2 in Girl
Most important testicular enlargement stage in boy?
Tanner Stage G2 3-4ml
Short Stature Common causes? (3)
Familial
Constituional
SGA/IUGR
Pathological causes of Short Stature? (7)
Steroids Coeliac IBD JCA Hypothyroid Turner Prader Willi
When is early puberty in a boy?
Below 9
When is delayed puberty in boys?
> 14
When is early puberty in girls?
<8
When is delayed puberty in girls
> 13
Gonadal Dysgenesis causes of Delayed Puberty (2)
Turner 45x
Kleinfelter 47XXY
Chronic disease cause of delayed puberty?
Crohns
Asthma
Impaired HPG Axis causes of delayed puberty?
Septo-Optic Dysplasia
Cranipharyngioma
Kallman Syndrome
Peripheral causes of delayed puberty?
Cryptorchidism
Testicular irradiation
Diagnosis Tests for Central Precocious Puberty in Girls? (1)
Pituitary Imaging
Treatment for Central Precocious Puberty in Girls?
gnRH agonist
Features of Precocious Pseudopuberty (4)
Gonadotrophin Independent (Low LH and FSH)
Abnormal Sex Steroid Hormone Secretion
Secondary Sexual Characteristics
Ambigious Genitalia Management (4)
Do not guess Sex
MDT
Karotype
Exclude Congenital Adrenal Hyperplasia
When is there a risk of adrenal crisis in newborns?
First 2 weeks of life
Congenital Hypothyrodism happens how often in paediatrics?
1 in 4000 Births
Causes of Congenital Hypothyrodism? (2)
Athyreosis/Hypoplastic/Ectopic
Dyshormonogenic
Acquired Hypothyrodism in Paediatrics most common cause
Autoimmune Hashimoto Thyroiditis
Childhood issues to query Acquired Hypothyrodism? (3)
Lack of Height Gain
Pubertal delay
Poor school performance
Definition of Overweight
BMI 85th Centile or SD >1.04
Definition of Obesity
BMI 97.5th Centile or SD >2
Which drugs can lead to obesity? (4)
Insulin
Steroid
Antithyroid Drugs
Sodium Valproate
Which conditions can lead to obesity? (4)
Prader Willi
Laurence Moon Biedl
Pseudohyoparathyroidism Type 1
Downs Syndrome
