precocious puberty Flashcards
when does precocious puberty occur in males?
under 9
when does precocious puberty occur in females?
under 8 years
is precious puberty more common in males or females
females
types of precious puberty?
central
peripheral
which type of precocious puberty is more common
central
cause of precocious puberty?
idiopathic
can fetal alcohol syndrome cause precocious puberty?
yes
precocious puberty patho
hypothalamus –> anterior pituitary –> gonads
what scale is used to assess stages of sexual development?
tanner
precocious puberty manifestations in females
-taylarki
-public/axillary hair
-enlargement of vagina, uterus, and ovaries
-acne
-growth spirt
-moodiness
-adult body odor
-onset of menses
precocious puberty clinical manifestations in males
-testicular enlargement
-penile enlargement
-pubic hair
-axillary/chest hair
-facial hair
-acne
-adult body odor
-deepening of voice
diagnosis of precocious puberty
GnRH test
GnRH test
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
complication of precocious puberty
if you don’t stop bone from fusing, can lead to short/low stature
treatment of precocious puberty
leuprolide acetate & depo shot