Adolescent Medicine Flashcards
ages of peak height velocity for boys and girls
girls - Tanner 3
boys - tanner 4
what is prepubertal height velocity in boys and girls
5-6cm/year
what lab can be normal during growth spurt
elevated alk phos
a girl presents with breast buds but no pubic hair what do you think
androgen insensitivity
precocious puberty ranges by sex
girls 8-14
boy 9-15
what can cause precocious puberty in boys by itself
elevated LH
why do
HCG secreting tumors cause precocious puberty in boys
becuase it acts on the same receptors as LH
next step if you note premature adrenarche
get bone age, should be within one year of chronilogical age
next step if you note premature adrenarche
get bone age, should be within one year of chronological age (rule out androgen secreting tumor or CAH)
how does prolactinoma lead to delayed puberty
it causes suppression of GnRH so there are decreased levels of LH and FSH
hypogonadotropic hypogonadism and anosmia is
kallman syndrome
what is a cause of hypergonadotropic hypogonadism (dx)
turner syndrome
GH deficinecy presents with what findings
hypoglycemia and micropenias
what common drug can cause galactorrhea
marijuana
emergency cointraception, levongerstyol vs uliprostol
levono- can be taken up to three days after intercourse
ulipr- can be taken up to 5 days after intercourse
