Precocious Puberty

Question 0

TRUE PRECOCIOUS PUBERTY

What does it look like developmentally?

Answer 0

Development of secondary sexual characteristics

Increasing size & activity of reproductive organs prior to normal puberty age - usually less than 10 y/o

Question 1

What are the 2 types of precocious puberty?

Answer 1

True precocious puberty and precocious pseudopuberty

Question 2

TRUE PRECOCIOUS PUBERTY

What does the uterus look like and what are its ratios?

Answer 2

Uterus is enlarged

Postpubertal configuration - 2:1 & 3:1 fundus/cervix ratio

Question 3

TRUE PRECOCIOUS PUBERTY

Ovarian volume is…

Answer 3

Enlarged - greater than 1 cubic cm

Functional cysts present

Question 4

PRECOCIOUS PSEUDOPUBERTY

Describe precocious pseudopuberty…

Answer 4

Maturation of secondary sexual characteristics, NOT reproductive organs

Question 5

PRECOCIOUS PSEUDOPUBERTY

There is no activation of what?

Answer 5

The hypothalamic-pituitary-gonadal axis

Question 6

PRECOCIOUS PSEUDOPUBERTY

What is this associated with?

Answer 6

An increase steroidal release from the adrenal glands - tumors

Question 7

PRECOCIOUS PSEUDOPUBERTY

What should you ALWAYS scan if any type of precocious puberty is seen?

Answer 7

The liver and adrenal glands to rule out lesions