Delayed Puberty E

Question 1

delayed puberty

Answer 1

no puberty development in children

Question 2

what is the age for investigation in boys and girls

Answer 2

boy - 15

girl - 14

Question 3

investigations

Answer 3

blood

x-ray of wrists

Question 4

why is the x-ray of wrists useful

Answer 4

can examine the epiphyseal plates and see if they have fused or not

Question 5

what are other causes

Answer 5

low gonadotrophin levels:
pituitary disorder
hypothyroid

high gonadotrophin levels but not getting a response:
adrenal hyperplasia
congenital syndromes

Question 6

what the first sign of puberty in a boy and a girl

Answer 6

boy - testicular growth

girl - budding of breast