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Flashcards in abnl puberty female Deck (10):
1

the presence of breasts and pubic heair development prior to age __- warrents elavuation with H+{ and bone age as minimumal evaluation

eight

2

pubic and axiallary hair growth in response to (direct)

DHT

2

typical etiology of gonadotropin diependent precocious uberty

tumor in ovary or adrenal gland or abnl enzymatic processes in enzyme producing organs

3

vagina and uterus develop in absence of 

MIS

4

gonadotro[pin dependent precocious puberrty characterized by 

premature activation of hypothalamic pituitary ovarian or adrenal axis

6

McCune albirhgt syndrome

cafe ou lait spots

polyocystotic fibrous dysplasia of bones

estrogen production of ovaries

hyperthyroidism - abberant activation of GDP > increased enzymatic activity

(cause of gonadotropin indepedent precoccious puberty)

7

in precocious puberty

if breast development > test ___

if pubic/axiallary > test ____

menstruation > test____

 

if breast development > test ___ estrogen, FSH

if pubic/axiallary > test ____testosterone, LH

menstruation > test____FSH, LH

8

absence of 2ndry sexual characteristic by age __ warrants evaluation

14

9

upper 2/3 of vagina origin

lower third

upper 2/3 mullerian

lower 1/3 urogenital 

10

ovarian androgen production primarily driven by ___

adrneal androgen 

ovarian - primarily LH

adrenal rimarily ACTH