precocious puberty Flashcards

1
Q

when does precocious puberty occur in males?

A

under 9

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2
Q

when does precocious puberty occur in females?

A

under 8 years

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3
Q

is precious puberty more common in males or females

A

females

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4
Q

types of precious puberty?

A

central
peripheral

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5
Q

which type of precocious puberty is more common

A

central

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6
Q

cause of precocious puberty?

A

idiopathic

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7
Q

can fetal alcohol syndrome cause precocious puberty?

A

yes

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8
Q

precocious puberty patho

A

hypothalamus –> anterior pituitary –> gonads

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9
Q

what scale is used to assess stages of sexual development?

A

tanner

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10
Q

precocious puberty manifestations in females

A

-taylarki
-public/axillary hair
-enlargement of vagina, uterus, and ovaries
-acne
-growth spirt
-moodiness
-adult body odor
-onset of menses

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11
Q

precocious puberty clinical manifestations in males

A

-testicular enlargement
-penile enlargement
-pubic hair
-axillary/chest hair
-facial hair
-acne
-adult body odor
-deepening of voice

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12
Q

diagnosis of precocious puberty

A

GnRH test

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13
Q

GnRH test

A

give GnRH IV and draw serial blood test q2 hours

positive if pubertal or adult levels of sex hormones are seen in response to GnRH administration

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14
Q

complication of precocious puberty

A

if you don’t stop bone from fusing, can lead to short/low stature

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15
Q

treatment of precocious puberty

A

leuprolide acetate & depo shot

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16
Q

what if treatment for puberty is discontinued?

A

then puberty continues