puberty Flashcards
1
Q
Management of gynacomastia in young boys
A
- usually physiological due to imbalance of oestrogen excess vs testosterone insufficiency
- usually resolves without investigation
2
Q
Indications for surgery in boys with gynacomastia
A
- onset >2yr ago
- unequal in size
- failed medical management
3
Q
What is precocious puberty
A
signs of puberty at an early age
- girls <8yrs
- boys <9yrs
- Girls > boys
- Usually benign in boys
- rarely idiopathic in boys
4
Q
What is premature menarche
A
cyclical vaginal bleeding in the absence of other signs of puberty
5
Q
What is premature thelarche
A
isolated breast enlargement in children <3yrs old
NO other signs of puberty
6
Q
What is precious pseudopuberty (gonadotrophin-independent precocious puberty)
A
elevated sex steroids (oestridiol and testosterone) cause breast and pubic hair development
7
Q
What is premature adrenarche
A
adrenal excess causes isolated pubic and axillary hair.
