precocious puberty and puberty scale Flashcards
pp before what ages in both males and females
Precocious puberty should be considered whenever secondary sexual characteristic appear before 8 years of age in females and before 9 years of age in males.
cx
Causes of Gonadotrophin-dependent precocious puberty (GDPP)
Idiopathic (>90%)
Brain tumours
Cranial radiotherapy
Structural damage to the brain, for example, from:
Hydrocephalus
Post-infection (meningitis)
Traumatic head injury
Causes of Gonadotrophin independent precocious puberty (GIPP)
Gonadal tumours
Adrenal or liver tumours (may cause virulisation)
Congenital adrenal hyperplasia
tx for this
GnRH analogues can play a role to suspend progression of puberty
if left untreated can lead to accelerated skeletal develppment resulting in reduced height
tx for this
GnRH analogues can play a role to suspend progression of puberty
if left untreated can lead to accelerated skeletal develppment resulting in reduced height
You are a FY2 called to see a 3 day old neonate on the postnatal ward. The baby has had several episodes of green vomiting. The baby has been urinating every 2 hours or so, but is yet to pass meconium. The baby was born at 41 weeks.
An abdominal X-ray shows a ‘bubbly’ appearance of the intestine with a lack of air-fluid levels.
Which of the following genetic conditions is likely present in this baby?
`CF with mecoium ileus
fluid regime how to calculate
100ml/kg for first 10kg, 50ml/kg for the second 10kg, 20ml/kg for each kilo over 20
if cannot walk by 18months what do you do
refer to secondary care
A ten year old boy is referred by his GP to a paediatric urology clinic. He attends with his father. The boy says that he is anxious about the small size of his penis and that he has not started to develop any pubic hair. What is the first sign of puberty in boys and girls?
Enlargement of the testes >4ml in boys and development of the breasts in girls
Testicle enlargement occurs from age 9 years in boys and breast development begins at age 8.5 years in girls
what tanner stage
under 3ml of testicular volume
1
stage 2 men scrotal skin changes what happens in stage 3
increase in size of penis with further t enlargement
stag 5 is full development and 4 is fiuther enlargement in males what baout women stage 1
no pubic hair, elevation of papilla in breasts only
2 is sparse growth around labia breast bud stage
stage 3 breasts enalrge
4 project and 5 is what
medial surface of thighs pubic hair and recession of areola to the contour of the breast. projection of papilla only
males first sign
testicular developmnent aroudn 10yr
when may sperm be found in urine
SMR 3
when to refer a man
penile growth or t enalrge before 9
steep upward growth trend
new onset polydipsia, polyuria or headaches
hisotry of CNS disorders
first sign in females
appearance of breast buds between 8-12 yr
